Alicia Grand Agosto, RBT
Individual provider Active NPI Behavior Technician · Henderson, NV
NPI 1669119616 · NPPES record last updated May 19, 2022
Key facts
- NPI
- 1669119616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-216953 (NV)
- Practice address
- 4350 E Sunset Rd Ste 203
Henderson, NV 89014-2260 - Phone
- (702) 547-6971
- Fax
- (702) 547-6948
- NPI assigned
- May 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-216953 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Settle Down ABA Inc | Behavior Technician | Past |
Accepting new patients |
| Settle Down ABA Inc | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-216953 | NV | Yes |
Addresses
Primary practice location
4350 E Sunset Rd Ste 203
Henderson, NV 89014-2260
Mailing address
1060 Wigwam Pkwy
Henderson, NV 89074-8162
Phone (702) 547-6971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-22-216953 | Other | NV | BACB |
Other providers in Henderson, NV
- Ageless Men'S Health
- Ageless Men'S Health NV, LLC
- Javier L Aget-Torres
- Yah Aggre
- Susan Agoncillo
- Daviana Agramonte
- Montserrat Aguila
- Jennifer Karina Aguilar Galindo
- Alexandra Lee Gonzalez Aguilar
- Jenny Aguilar
All providers in Henderson, NV · Behavior Technician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.