Individual provider Active NPI

Miquela Rabb-Brumfield

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1053995324
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-21-166823 Issued in NV
Practice address
6671 Las Vegas Blvd S Ste 210
Las Vegas, NV 89119-3273
Phone
(310) 406-1500
NPI assigned
May 12, 2021
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-21-166823 NV Primary

Addresses

Primary practice location

6671 Las Vegas Blvd S Ste 210
Las Vegas, NV 89119-3273

Mailing address

6671 Las Vegas Blvd S Ste 210
Las Vegas, NV 89119-3273
Phone (310) 406-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-21-166823NVMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1053995324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6671 LAS VEGAS BLVD S STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193273",
            "telephone_number": "310-406-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 LAS VEGAS BLVD S STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193273",
            "telephone_number": "310-406-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABB-BRUMFIELD",
        "first_name": "MIQUELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "RBT-21-166823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.