Individual provider Active NPI

Dylan Sebron

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1184150732
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-186891 Issued in NV
Practice address
8670 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7457
Phone
(725) 202-1497
NPI assigned
May 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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 RBT-21-186891 NV Primary

Addresses

Primary practice location

8670 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7457

Mailing address

8670 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7457
Phone (725) 202-1497

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@actnv.org

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-21-186891NVMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1184150732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297457",
            "telephone_number": "725-202-1497",
            "fax_number": "725-202-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297457",
            "telephone_number": "725-202-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBRON",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-21-186891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@actnv.org",
            "affiliation": "N",
            "address_1": "8670 W Cheyenne Ave Ste 110",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891297457",
            "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 Mar 16, 2022; 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.