Tanya Patterson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3925 N Martin L King Blvd
North Las Vegas, NV 89032-7673

Phone

(702) 684-7757

Fax

(702) 684-7381

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520121600000",
    "number": "1104160126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N MARTIN L KING BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327673",
            "telephone_number": "702-684-7757",
            "fax_number": "702-684-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N MARTIN L KING BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327673",
            "telephone_number": "702-684-7757",
            "fax_number": "702-684-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2018-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett W Patterson, DC
• Dominick Lacy-Venett Patterson
• Khamryn D Patterson
• Kunta Patterson
• Seandra N Patterson
• Derryck Patton
• Mildred Patton
• Natasha Dawn Patton
• Serriner Patton
• Paul H. Phan & Associates, Inc.

• Behavior Technician in North Las Vegas, NV
• Providers in North 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 Mar 4, 2018; 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.