Mark Beach

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT1126 Issued in NV

Practice address

6671 Las Vegas Blvd S Unit 210
Las Vegas, NV 89119-3289

Phone

(833) 223-8326

NPI assigned

Oct 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1568125458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S STEPHANIE ST APT 1611",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124412",
            "telephone_number": "562-714-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 LAS VEGAS BLVD S UNIT 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193289",
            "telephone_number": "833-223-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT1126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Be Well Counseling and Services Center
• Be Well Home Health Care LLC
• Beach Therapy
• Christine Beach
• Kelly Mae Beach, MA
• Stephanie Beach
• Nadia Chene' Beacham, D.M.D.
• Makaila Beachem
• Beacon Academy of Nevada
• Beacon of Life Wellness Group

• 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 Oct 18, 2021; 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.