Individual provider Active NPI

Roberto Santana de la Nuez

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1215518436
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2785 E Desert Inn Rd Ste 210
Las Vegas, NV 89121-3624
Phone
(702) 665-9793
NPI assigned
Apr 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

2785 E Desert Inn Rd Ste 210
Las Vegas, NV 89121-3624

Mailing address

261 Single Petal St
Henderson, NV 89074-8786
Phone (626) 674-1082

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ICANOTES Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1215518436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 SINGLE PETAL ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748786",
            "telephone_number": "626-674-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 E DESERT INN RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213624",
            "telephone_number": "702-665-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA DE LA NUEZ",
        "first_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ICANOTES",
            "affiliation": "N",
            "endpointDescription": "BEHAVIORAL HEALTH EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2785 E Desert Inn Rd Ste 210",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891213624",
            "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 Apr 19, 2021; 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.