Miguel Angeles Agbayani

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB613032 Issued in NV

Practice address

7261 W Charleston Blvd Ste 101
Las Vegas, NV 89117-1679

Phone

(702) 396-0101

NPI assigned

Feb 5, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tandem Therapy Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1215056478
  NPD (past)
• Tandem Therapy Services

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1356724652
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1013549427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 W CHARLESTON BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171679",
            "telephone_number": "702-396-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 W CHARLESTON BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171679",
            "telephone_number": "702-396-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W Harriet St",
            "address_purpose": "LOCATION",
            "city": "Altadena",
            "state": "CA",
            "postal_code": "910015040",
            "country_code": "US",
            "telephone_number": "626-318-1736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBAYANI",
        "first_name": "MIGUEL",
        "middle_name": "ANGELES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "BACB613032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agbayani.miguel@pusd.us",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "204 W Harriet St",
            "city": "Altadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910015040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth R Agati
• Gideon Alberto Agaton Jr., MSW, LSW
• Jayson Paulo Alberto Agaton, N.P.
• Agave Specialty Care, LLC
• Bernadette Agbalog
• Monamarie Rasquero Agbayani, BC-HIS
• Roseline Agbetorwoka
• Camille Agbuya
• Maria Agbuya
• Alouisa Gay Sahagun Agcaoili, APRN

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.