Active NPI
Matti J Concannon, RBT
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1447085261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-374125
- Practice address
- 5765 S Rainbow Blvd Ste 111
Las Vegas, NV 89118-2537 - Phone
- (702) 547-6971
- NPI assigned
- Sep 3, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-374125 | NV | Primary |
Addresses
Primary practice location
5765 S Rainbow Blvd Ste 111
Las Vegas, NV 89118-2537
Mailing address
1060 Wigwam Pkwy
Henderson, NV 89074-8162
Phone (702) 547-6971
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-24-374125 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Settle Down ABA Inc | Behavior Technician | Past | Accepting new patients |
| Settle Down ABA Inc | Behavior Technician | 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": "1725321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1447085261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 WIGWAM PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748162",
"telephone_number": "702-547-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5765 S RAINBOW BLVD STE 111",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182537",
"telephone_number": "702-547-6971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCANNON",
"first_name": "MATTI",
"middle_name": "J",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-03",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-24-374125",
"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 Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.