Isabella Rose Realini

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

25-403527 Issued in NV

Practice address

1707 Village Center Cir Ste 140
Las Vegas, NV 89134-0577

Phone

(702) 766-9840

NPI assigned

Jan 15, 2025

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proud Moments ABA of Nevada LLC

  • Behavior Analyst
  • Henderson, NV
  • NPI 1043780695
  NPD (past)

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1174334478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 VILLAGE CENTER CIR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 VILLAGE CENTER CIR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340577",
            "telephone_number": "702-766-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALINI",
        "first_name": "ISABELLA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "25-403527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Real Time Physicians, LLC
• Jose Carlos Real, MD
• Maribel Real
• Realcare Solutions LLC
• Realcare Wellness LLC
• Reality Corporation
• Really Reaching Beyond
• Really Reaching Beyond
• Daniel Jr Realyvasquez
• Adrian J Ream, RPA

• Behavior Technician in Las Vegas, NV
• Providers in 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 Jan 15, 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.