Active NPI
Jerome Lopez Macaraeg
- Behavior Technician
- Henderson, NV
National Provider Identifier
1669363933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-452169
- Practice address
- 74 N Pecos Rd
Henderson, NV 89074-7343 - Phone
- (800) 789-3062
- NPI assigned
- Jul 14, 2025
- Sex
- Unspecified or another gender identity
- 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-25-452169 | NV | Primary |
Addresses
Primary practice location
74 N Pecos Rd
Henderson, NV 89074-7343
Mailing address
74 N Pecos Rd Ste C
Henderson, NV 89074-7344
Phone (800) 789-3062
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-25-452169 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1669363933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 N PECOS RD STE C",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747344",
"telephone_number": "800-789-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 N PECOS RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747343",
"telephone_number": "800-789-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACARAEG",
"first_name": "JEROME",
"middle_name": "LOPEZ",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-07-14",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-25-452169",
"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 Feb 27, 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.