Individual provider Active NPI

Delavante Dickerson, RBT

  • Behavior Technician
  • Henderson, NV
National Provider Identifier
1780431700
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT4253 Issued in NV
Practice address
375 N Stephanie St Ste 1514
Henderson, NV 89014-8902
Phone
(702) 550-2791
Fax
(702) 745-0488
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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-24-344905 NV
Behavior Technician 106S00000X RBT4253 NV Primary

Addresses

Primary practice location

375 N Stephanie St Ste 1514
Henderson, NV 89014-8902

Mailing address

375 N Stephanie St Ste 1514
Henderson, NV 89014-8902
Phone (702) 550-2791

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
RBT-24-344905NVMDBehavior Technician
RBT4253NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Fluency, LLC Behavior Technician CurrentSince Mar 30, 2025 Accepting new patients
Behavioral Achievements Behavior Technician PastSince May 1, 2024 Accepting new patients

Locations

375 N Stephanie St
Ste 1514
Henderson, NV 89014
Phone (702) 550-2791

Organizations & group practices 2

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1780431700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N STEPHANIE ST STE 1514",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148902",
            "telephone_number": "702-550-2791",
            "fax_number": "702-745-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N STEPHANIE ST STE 1514",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148902",
            "telephone_number": "702-550-2791",
            "fax_number": "702-745-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "DELAVANTE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-24-344905",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT4253",
            "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 Mar 26, 2025; 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.