Individual provider Active NPI

Kati Roselyn Ruiz-Castillo

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1619734340
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT4084 Issued in NV
Practice address
8020 Pinyon Ridge St
Las Vegas, NV 89166-6580
Phone
(702) 904-9646
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT4084 NV Primary

Addresses

Primary practice location

8020 Pinyon Ridge St
Las Vegas, NV 89166-6580

Mailing address

7245 Bridgeview Ave
Las Vegas, NV 89147-4511
Phone (702) 337-9396

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

LicenseStateTypeSpecialty
RBT4084NVMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1619734340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 BRIDGEVIEW AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474511",
            "telephone_number": "702-337-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 PINYON RIDGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666580",
            "telephone_number": "702-904-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-CASTILLO",
        "first_name": "KATI",
        "middle_name": "ROSELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT4084",
            "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 Feb 29, 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.