Individual provider Active NPI

Nayvette Gonzalez

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1144701475
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-61761 Issued in NV
Practice address
3515 W Charleston Blvd
Las Vegas, NV 89102-1839
Phone
(702) 900-7698
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT0196 NV
Behavior Technician 106S00000X RBT-18-61761 NV Primary

Addresses

Primary practice location

3515 W Charleston Blvd
Las Vegas, NV 89102-1839

Mailing address

3157 N Rainbow Blvd Ste K7-247
Las Vegas, NV 89108-4578
Phone (702) 900-7698

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL stellaraba.com Stellar Behavioral Consulting Ltd

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

State licenses

LicenseStateTypeSpecialty
RBT-18-61761NVMDBehavior Technician
RBT0196NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Behavioral Consulting LTD Behavior Technician CurrentSince May 7, 2023 Accepting new patients
Southwest Autism & Behavioral Solutions, LLC Past Accepting new patients

Locations

4132 S Rainbow Blvd
Las Vegas, NV 89103
Phone (702) 706-8062

3515 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 382-1033

2820 W Charleston Blvd
Ste 22
Las Vegas, NV 89102
Phone (702) 301-6667

3157 N Rainbow Blvd
Las Vegas, NV 89108

Organizations & group practices 2

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1144701475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N RAINBOW BLVD STE K7-247",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "702-900-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021839",
            "telephone_number": "702-900-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NAYVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT0196",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-18-61761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stellaraba.com",
            "affiliation": "Y",
            "endpointDescription": "Stellar ABA website",
            "affiliationName": "Stellar Behavioral Consulting Ltd",
            "address_1": "2820 W Charleston Blvd Ste 22",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891021933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 6, 2023; 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.