Individual provider Active NPI

Maricela Daniel

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1770047003
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-87032 Issued in NV
Practice address
2110 E Flamingo Rd Ste 150
Las Vegas, NV 89119
Phone
(702) 270-3219
Fax
(866) 833-2056
NPI assigned
Jan 31, 2019
Last updated
Jun 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-87032 NV Primary
Behavior Technician 106S00000X 1405392297 NV

Addresses

Primary practice location

2110 E Flamingo Rd Ste 150
Las Vegas, NV 89119

Mailing address

2110 E Flamingo Rd Ste 350
Las Vegas, NV 89119-5190
Phone (702) 270-3219

Other practice location 1

408 S Jones Blvd
Las Vegas, NV 89107-2658
Phone (702) 502-8021

Other practice location 2

408 S Jones Blvd
Las Vegas, NV 89107-2658
Phone (702) 502-8021

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
1405392297NVMDBehavior Technician
RBT-19-87032NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Autism & Behavioral Solutions, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1770047003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190",
            "telephone_number": "702-270-3219",
            "fax_number": "866-833-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-270-3219",
            "fax_number": "866-833-2056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072658",
            "country_code": "US",
            "telephone_number": "702-502-8021",
            "fax_number": "888-688-9464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072658",
            "country_code": "US",
            "telephone_number": "702-502-8021",
            "fax_number": "888-688-9464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MARICELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-19-87032",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "1405392297",
            "primary": false
        }
    ],
    "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 Jun 5, 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.

Verify at the official NPI Registry.