Active NPI
Gwendallyn Beatty
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1669936670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7390 W Sahara Ave Ste 260
Las Vegas, NV 89117-2765 - Phone
- (702) 900-4320
- Fax
- (608) 646-6124
- NPI assigned
- Jan 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
7390 W Sahara Ave Ste 260
Las Vegas, NV 89117-2765
Mailing address
7390 W Sahara Ave Ste 260
Las Vegas, NV 89117-2765
Phone (702) 900-4320
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Vegas Autism Center, LLC | Behavior Technician | Past | Accepting new patients |
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": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1669936670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7390 W SAHARA AVE STE 260",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172765",
"telephone_number": "702-900-4320",
"fax_number": "608-646-6124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7390 W SAHARA AVE STE 260",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172765",
"telephone_number": "702-900-4320",
"fax_number": "608-646-6124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "GWENDALLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"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 Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.