Active NPI
Mariah Ann Rose, RBT
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1437630944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-57306
- Practice address
- 408 S Jones Blvd
Las Vegas, NV 89107-2658 - Phone
- (702) 502-8021
- NPI assigned
- Aug 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NV | ||
| Behavior Technician | 106S00000X | RBT-18-57306 | MO | Primary |
Addresses
Primary practice location
408 S Jones Blvd
Las Vegas, NV 89107-2658
Mailing address
408 S Jones Blvd
Las Vegas, NV 89107-2658
Phone (702) 502-8021
Other names 1
- Mariah Ann Pazyck
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-18-57306 | MO | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Autism & Behavioral Solutions | Past | Accepting new patients | |
| Southwest Autism & Behavioral Solutions, 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.
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1497168744
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1336464460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1437630944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072658",
"telephone_number": "702-502-8021",
"fax_number": "866-833-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072658",
"telephone_number": "702-502-8021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MARIAH",
"middle_name": "ANN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MO",
"license": "RBT-18-57306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAH",
"last_name": "PAZYCK",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}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 Feb 3, 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.