Individual provider Active NPI

Jordan Miller, RBT

  • Behavior Technician
  • Henderson, NV
National Provider Identifier
1669293601
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT4484 Issued in NV
Practice address
9089 S Pecos Rd Ste 3600
Henderson, NV 89074-7186
Phone
(702) 680-1526
NPI assigned
Oct 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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 RBT4484 NV Primary

Addresses

Primary practice location

9089 S Pecos Rd Ste 3600
Henderson, NV 89074-7186

Mailing address

8275 S Eastern Ave Ste 200
Las Vegas, NV 89123-2545

Other practice location 1

8275 S Eastern Ave Ste 200
Las Vegas, NV 89123-2545
Phone (303) 616-1188

Other practice location 2

8275 S Eastern Ave Ste 200
Las Vegas, NV 89123-2545
Phone (303) 616-1188

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
RBT4484NVMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1669293601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 S EASTERN AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9089 S PECOS RD STE 3600",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747186",
            "telephone_number": "702-680-1526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8275 S Eastern Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232545",
            "country_code": "US",
            "telephone_number": "303-616-1188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8275 S Eastern Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232545",
            "country_code": "US",
            "telephone_number": "303-616-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JORDAN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT4484",
            "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 Jan 23, 2026; 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.