Individual provider Active NPI

Leslie Gutierrez Villalobos

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1639946916
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
7570 Norman Rockwell LN Ste 250
Las Vegas, NV 89143-6013
Phone
(702) 848-2980
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 Primary

Addresses

Primary practice location

7570 Norman Rockwell LN Ste 250
Las Vegas, NV 89143-6013

Mailing address

7260 W Azure Dr Ste 140-104
Las Vegas, NV 89130-7999

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliant Behavior LLC Behavior Technician CurrentSince Dec 10, 2023 Accepting new patients

Locations

7260 W Azure Dr
Ste 140104
Las Vegas, NV 89130

7570 Norman Rockwell Ln
Ste 250
Las Vegas, NV 89143
Phone (702) 848-2980

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1639946916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 W AZURE DR STE 140-104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891307999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 NORMAN ROCKWELL LN STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891436013",
            "telephone_number": "702-848-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ VILLALOBOS",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "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 Dec 7, 2023; 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.