Individual provider Active NPI

January Patricia West

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1124905807
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3630 N Rancho Dr Ste 107
Las Vegas, NV 89130-3111
Phone
(702) 577-2606
Fax
(702) 710-6023
NPI assigned
Aug 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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 Primary

Addresses

Primary practice location

3630 N Rancho Dr Ste 107
Las Vegas, NV 89130-3111

Mailing address

6200 N Durango Dr Ste 110
Las Vegas, NV 89149-3939
Phone (702) 577-2606

Other practice location 1

6200 N Durango Dr Ste 110
Las Vegas, NV 89149-3939
Phone (702) 577-2606

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Achievements Behavior Technician CurrentSince Aug 17, 2025 Accepting new patients

Locations

3630 N Rancho Dr
Ste 107
Las Vegas, NV 89130
Phone (702) 577-2606

6200 N Durango Dr
Ste 110
Las Vegas, NV 89149
Phone (702) 577-2606

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1124905807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 N DURANGO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493939",
            "telephone_number": "702-577-2606",
            "fax_number": "702-710-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 N RANCHO DR STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303111",
            "telephone_number": "702-577-2606",
            "fax_number": "702-710-6023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 N Durango Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493939",
            "country_code": "US",
            "telephone_number": "702-577-2606",
            "fax_number": "702-710-6023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "JANUARY",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "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 Aug 16, 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.