Sean Gabriel Kyle Y Tabernilla

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3940 W Ann Rd Ste 100
North Las Vegas, NV 89031-3845

Phone

(702) 820-8891

NPI assigned

Apr 10, 2024

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

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1598518417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7497 RAINFORD ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481836",
            "telephone_number": "702-927-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 W ANN RD STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313845",
            "telephone_number": "702-820-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABERNILLA",
        "first_name": "SEAN GABRIEL KYLE",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Sykes, LMSW
• Vianey Sylvester Winn
• Tracy Ann Szalay, CPC
• Michael Joseph Szalla
• T & Z Psychotherapy Practice, LLC
• Heather Tafaoimalo
• Taliilagi Tafaoimalo
• Emmanuel V Taguba, M.D.
• Kelli S Taguchi, PHARM.D.
• Gerard Taguiam

• Behavior Technician in North Las Vegas, NV
• Providers in North 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 Apr 10, 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.

Verify at the official NPI Registry.