Individual provider Active NPI

New Chuencharoenwong

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1275933913
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-19980 Issued in NV
Practice address
5420 W Sahara Ave Ste 201
Las Vegas, NV 89146
Phone
(702) 882-7827
Fax
(702) 522-9336
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Behavior Technician 106S00000X RBT-16-19980 NV Primary

Addresses

Primary practice location

5420 W Sahara Ave Ste 201
Las Vegas, NV 89146

Mailing address

5420 W Sahara Ave Ste 201
Las Vegas, NV 89146-0389
Phone (702) 882-7827

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-16-19980NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Color Me a New World Current Accepting new patients
Uniquely Me Therapies LLC 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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1275933913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W SAHARA AVE STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460389",
            "telephone_number": "702-882-7827",
            "fax_number": "702-522-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W SAHARA AVE STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-882-7827",
            "fax_number": "702-522-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUENCHAROENWONG",
        "first_name": "NEW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-16-19980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 25, 2018; 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.