Active NPI
Mariel Gueco
- Behavior Analyst
- Henderson, NV
National Provider Identifier
1861862047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1703061348
- Practice address
- 2444 Antler Point Dr.
Henderson, NV 89074 - Phone
- (702) 308-5890
- NPI assigned
- Oct 1, 2015
- Reactivated
- Aug 25, 2021
- 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 | 1703061348 | NV | Primary |
Addresses
Primary practice location
2444 Antler Point Dr.
Henderson, NV 89074
Mailing address
2444 Antler Point Dr
Henderson, NV 89074-6269
Phone (702) 308-5890
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 |
|---|---|---|---|
| 1703061348 | NV | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1861862047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2444 ANTLER POINT DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746269",
"telephone_number": "702-308-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2444 ANTLER POINT DR.",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89074",
"telephone_number": "702-308-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUECO",
"first_name": "MARIEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"deactivation_date": "2017-01-18",
"reactivation_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "1703061348",
"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 Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.