Active NPI
Ana Bailetti
- Behavior Technician
- North Las Vegas, NV
National Provider Identifier
1811436454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6675 Abruzzi Dr
Unit 102
North Las Vegas, NV 89084-5444 - Phone
- (702) 332-1856
- NPI assigned
- Feb 15, 2017
- Last updated
- Feb 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
6675 Abruzzi Dr
Unit 102
North Las Vegas, NV 89084-5444
Mailing address
6675 Abruzzi Dr
Unit 102
North Las Vegas, NV 89084-5444
Phone (702) 332-1856
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 |
|---|---|---|---|
| Good Samaritan Behavioral Health and Community Services | 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.
-
dba good samaritan crisis center
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1255842423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1811436454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6675 ABRUZZI DR",
"address_2": "UNIT 102",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890845444",
"telephone_number": "702-332-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6675 ABRUZZI DR",
"address_2": "UNIT 102",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890845444",
"telephone_number": "702-332-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILETTI",
"first_name": "ANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.