Robert L Varnado Jr.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT4526 Issued in NV

Practice address

9037 Jumping Jacks Ave
Las Vegas, NV 89178-6288

Phone

(714) 458-0096

NPI assigned

Nov 6, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Ambition Toward Betterment, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Las Vegas, NV
  • NPI 1063372951
  NPD Authorized official
• Ambition Toward Betterment, LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1861350845
  NPD Authorized official

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1114740107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9037 JUMPING JACKS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891786288",
            "telephone_number": "714-458-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9037 JUMPING JACKS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891786288",
            "telephone_number": "714-458-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNADO",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT4526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Varlamova, CCC-SLP
• Linda Varley, LPN
• Brenda Denise Varnado, LPC
• Domonique Shaday Varnado
• Jania D Varnado
• Valeria Varnado
• Delano Varner
• Krissada Scott Varner, DC
• Mallory Varnum, OTD, OTR/L
• Denisis Varona Chala

• All providers in Las Vegas, NV
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.