Active NPI
Beth A Hidalgo
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1689435745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT4039
- Practice address
- 6200 N Durango Dr Ste 110
Las Vegas, NV 89149-3939 - Phone
- (702) 577-2606
- Fax
- (702) 710-6023
- NPI assigned
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-321378 | ||
| Behavior Technician | 106S00000X | RBT4039 | NV | Primary |
Addresses
Primary practice location
6200 N Durango Dr Ste 110
Las Vegas, NV 89149-3939
Mailing address
6100 N Durango
Suite 110
Las Vegas, NV 89149-3939
Phone (702) 577-2606
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 |
|---|---|---|---|
| RBT4039 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Achievements | Behavior Technician | Current | Accepting new patients |
Locations
6200 N Durango Dr
Ste 110
Las Vegas, NV 89149
Phone (702) 577-2606
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": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1689435745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 N DURANGO",
"address_2": "SUITE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891493939",
"telephone_number": "702-577-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 N DURANGO DR STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891493939",
"telephone_number": "702-577-2606",
"fax_number": "702-710-6023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "BETH",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-24-321378",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT4039",
"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 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.