Shytazia Ariel Gantt

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

140 E Rome Blvd # 109813
North Las Vegas, NV 89084-1417

Phone

(702) 565-7634

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1609483809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E ROME BLVD # 109813",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841417",
            "telephone_number": "702-465-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E ROME BLVD # 109813",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841417",
            "telephone_number": "702-565-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "SHYTAZIA",
        "middle_name": "ARIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Shytaziag@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "140 E Rome Blvd # 109813",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890841417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raymond Gamble
• Tanner Gamble, DMD
• Christina Ganceres
• James Gannon, RN
• Brittany B Gant
• Ping Gao, M.D., M.P.H.
• Brently Garbutt
• Osleidis Garcia Bayard
• Maricela Garcia del Rio
• Marlen Garcia Jorrin

• 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 Sep 30, 2020; 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.