Individual provider Active NPI

Danielle Boltz

  • Behavior Technician
  • Elko, NV
National Provider Identifier
1083596993
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1250 Lamoille Hwy Ste 103
Elko, NV 89801-4397
Phone
(775) 777-1292
Fax
(775) 777-1293
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NV Primary

Addresses

NPPES NPI Registry

Primary practice location

1250 Lamoille Hwy Ste 103
Elko, NV 89801-4397

Mailing address

1250 Lamoille Hwy Ste 103
Elko, NV 89801-4397
Phone (775) 777-1292

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2025.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1083596993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 LAMOILLE HWY STE 103",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014397",
            "telephone_number": "775-777-1292",
            "fax_number": "775-777-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 LAMOILLE HWY STE 103",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014397",
            "telephone_number": "775-777-1292",
            "fax_number": "775-777-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTZ",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.