Individual provider Active NPI

Michelle Marchese, M.ED.

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1346952363
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT22213816 Issued in NV
Practice address
10585 Medicine Bow St
Las Vegas, NV 89183
Phone
(702) 913-9879
NPI assigned
Dec 21, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 RBT22213816 NV Primary

Addresses

Primary practice location

10585 Medicine Bow St
Las Vegas, NV 89183

Mailing address

5400 Mountain Vista St Apt 724
Las Vegas, NV 89120-2172
Phone (702) 913-9879

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
RBT22213816NVMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1346952363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MOUNTAIN VISTA ST APT 724",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202172",
            "telephone_number": "702-913-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 MEDICINE BOW ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89183",
            "telephone_number": "702-913-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESE",
        "first_name": "MICHELLE",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT22213816",
            "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 Dec 21, 2022; 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.