Imani Delille, BA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2501 N Green Valley Pkwy
BLDG. D, Ste 116-118
Henderson, NV 89014-0273

Phone

(702) 605-2766

Fax

(702) 938-9056

NPI assigned

Mar 17, 2017

Last updated

Mar 17, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1255872628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N GREEN VALLEY PKWY",
            "address_2": "BLDG. D, STE 116-118",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140273",
            "telephone_number": "702-605-2766",
            "fax_number": "702-938-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N GREEN VALLEY PKWY",
            "address_2": "BLDG. D, STE 116-118",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140273",
            "telephone_number": "702-605-2766",
            "fax_number": "702-938-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELILLE",
        "first_name": "IMANI",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Delboccio
• Bethany Delgadillo, RBT
• Stella Maris Delgado-Almenario, M.D.
• Chrisitine Delgado
• Maria Delgado
• Jaime Lee Delivuk, FNP-C
• Sammy Castro Delizo, APRN, FNP
• Lindsey Dellinger, MOT, OTR/L
• Delmar Gardens of Green Valley Operating LLC (Delmar Gardens of Green Valley)
• Alisha Michelle Deloach

• Behavior Technician in Henderson, NV
• Providers in Henderson, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.