Active NPI
Raquel Montoya
- Behavior Analyst
- North Las Vegas, NV
National Provider Identifier
1811372899
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Dec 19, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 20090709447
- Practice address
- 5135 Camino Al Norte Ste 206
North Las Vegas, NV 89031-2391 - Phone
- (702) 353-1786
- Fax
- (702) 965-2455
- NPI assigned
- Jul 20, 2015
- 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 Analyst | 103K00000X | 20090709447 | NV | Primary |
Addresses
Primary practice location
5135 Camino Al Norte Ste 206
North Las Vegas, NV 89031-2391
Mailing address
5135 Camino Al Norte Ste 206
North Las Vegas, NV 89031-2391
Phone (702) 353-1786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271510471 | Medicaid | NV |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20090709447 | NV | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1811372899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5135 CAMINO AL NORTE STE 206",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890312391",
"telephone_number": "702-353-1786",
"fax_number": "702-965-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5135 CAMINO AL NORTE STE 206",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890312391",
"telephone_number": "702-353-1786",
"fax_number": "702-965-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "RAQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "20090709447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271510471",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.