Michael Patten

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-79428 Issued in NV

Practice address

2820 W Charleston Blvd Ste 22
Las Vegas, NV 89102

Phone

(702) 900-7698

Fax

(702) 825-0791

NPI assigned

Feb 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southwest Autism & Behavioral Solutions, LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1336464460
  NPD (past)

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1396202040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 22",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021933",
            "telephone_number": "702-900-7698",
            "fax_number": "702-825-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 22",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-900-7698",
            "fax_number": "702-825-0791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 E Flamingo Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195190",
            "country_code": "US",
            "telephone_number": "702-270-3219",
            "fax_number": "866-833-2056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT0254",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-19-79428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stellaraba.com",
            "affiliation": "Y",
            "endpointDescription": "Stellar ABA website",
            "affiliationName": "Stellar Behavioral Consulting Ltd",
            "address_1": "2820 W Charleston Blvd Ste 22",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891021933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reem Patros
• Shannon Lee Patt
• Allison Patten, D.O.
• Braden Craig Patten
• Daniel Patten
• Sara Patten
• Sarah Patterson-Hunold, APRN
• Karen Patterson-Stewart
• Adrienne Patterson
• Alex Patterson

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.