Active NPI
Kenneth Angelo Iacoviello, M.S.
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1528478013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-66777
- Practice address
- 6130 W Tropicana Ave Ste 145
Las Vegas, NV 89103-4604 - Phone
- (702) 900-7698
- NPI assigned
- May 6, 2014
- Last updated
- Oct 4, 2018
- Sex
- Male
- 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-18-66777 | NV | Primary |
Addresses
Primary practice location
6130 W Tropicana Ave Ste 145
Las Vegas, NV 89103-4604
Mailing address
6130 W Tropicana Ave Ste 145
Las Vegas, NV 89103-4604
Phone (917) 445-7187
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-66777 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1528478013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6130 W TROPICANA AVE STE 145",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034604",
"telephone_number": "917-445-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6130 W TROPICANA AVE STE 145",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034604",
"telephone_number": "702-900-7698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACOVIELLO",
"first_name": "KENNETH",
"middle_name": "ANGELO",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-06",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-18-66777",
"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 Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.