Active NPI
De'Richard Rayford
- Behavior Technician
- Henderson, NV
National Provider Identifier
1639034903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-358884
- Practice address
- 9089 S Pecos Rd
Suite 3400
Henderson, NV 89074 - Phone
- (702) 867-5810
- NPI assigned
- Dec 18, 2025
- Last updated
- Dec 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
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-24-358884 | NV | Primary |
Addresses
Primary practice location
9089 S Pecos Rd
Suite 3400
Henderson, NV 89074
Mailing address
6570 Tumbleweed Ridge LN
Unit 101
Henderson, NV 89011
Phone (909) 561-0963
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-358884 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1639034903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6570 TUMBLEWEED RIDGE LN",
"address_2": "UNIT 101",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89011",
"telephone_number": "909-561-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9089 S PECOS RD",
"address_2": "SUITE 3400",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89074",
"telephone_number": "702-867-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYFORD",
"first_name": "DE'RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-24-358884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.