Individual provider Active NPI

Tatiana Maria Calicich

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1104776350
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9750 W Skye Canyon Park Dr Ste 160-153
Las Vegas, NV 89166-6623
Phone
(702) 530-2905
NPI assigned
Jan 29, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NV Primary

Addresses

Primary practice location

9750 W Skye Canyon Park Dr Ste 160-153
Las Vegas, NV 89166-6623

Mailing address

9501 White Fir Grove CT
Las Vegas, NV 89143-1262

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

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1104776350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 WHITE FIR GROVE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891431262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 W SKYE CANYON PARK DR STE 160-153",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666623",
            "telephone_number": "702-530-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICICH",
        "first_name": "TATIANA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "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 Jan 29, 2026; 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.