Active NPI
Thomas Haile
- Behavior Technician
- Henderson, NV
National Provider Identifier
1346029196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-299194
- Practice address
- 1701 N Green Valley Pkwy Ste 9B
Henderson, NV 89074-5991 - Phone
- (725) 333-4005
- NPI assigned
- Sep 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-299194 | NV | Primary |
Addresses
Primary practice location
1701 N Green Valley Pkwy Ste 9B
Henderson, NV 89074-5991
Mailing address
1701 N Green Valley Pkwy Ste 9B
Henderson, NV 89074-5991
Phone (725) 333-4005
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-299194 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1346029196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 N GREEN VALLEY PKWY STE 9B",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890745991",
"telephone_number": "725-333-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N GREEN VALLEY PKWY STE 9B",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890745991",
"telephone_number": "725-333-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILE",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-23-299194",
"primary": true
}
],
"identifiers": [],
"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 Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.