Individual provider Active NPI

Audry McDonald, RBT

  • Behavior Technician
  • Henderson, NV
National Provider Identifier
1205134459
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-88760 Issued in NV
Practice address
731 Mall Ring Cir Ste 215
Henderson, NV 89014
Phone
(702) 547-6971
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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-19-88760 NV Primary

Addresses

Primary practice location

731 Mall Ring Cir Ste 215
Henderson, NV 89014

Mailing address

1060 Wigwam Pkwy
Henderson, NV 89074-8162
Phone (702) 547-6971

Other practice location 1

1055 E Tropicana Ave
Suite 201
Las Vegas, NV 89119-6615
Phone (702) 739-7716

Other practice location 2

5502 S Fort Apache Rd # 200
Las Vegas, NV 89148-7683
Phone (702) 547-6971

Other practice location 3

4315 N Rancho Dr Ste 110
Las Vegas, NV 89130-3437
Phone (702) 686-7047

Other identifiers 1

IdentifierTypeStateIssuer
RBT-19-88760OtherNVBACB

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-19-88760NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Settle Down ABA Inc Behavior Technician Past Accepting new patients
Agape Children'S Services Past Accepting new patients

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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1205134459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748162",
            "telephone_number": "702-547-6971",
            "fax_number": "702-547-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 MALL RING CIR STE 215",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-547-6971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 E Tropicana Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196615",
            "country_code": "US",
            "telephone_number": "702-739-7716",
            "fax_number": "702-597-2242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5502 S Fort Apache Rd # 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891487683",
            "country_code": "US",
            "telephone_number": "702-547-6971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4315 N Rancho Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303437",
            "country_code": "US",
            "telephone_number": "702-686-7047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "AUDRY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-19-88760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-19-88760",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.