Individual provider Active NPI

Shanequa Kiles

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1902712979
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-282372 Issued in NV
Practice address
1600 E Rochelle Ave Apt 232
Las Vegas, NV 89119-5531
Phone
(702) 843-5531
NPI assigned
Aug 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X
Behavior Technician 106S00000X RBT-23-282372 NV Primary

Addresses

Primary practice location

1600 E Rochelle Ave Apt 232
Las Vegas, NV 89119-5531

Mailing address

1600 E Rochelle Ave Apt 232
Las Vegas, NV 89119-5531
Phone (702) 843-9405

Other practice location 1

8871 W Flamingo Rd Ste 202
Las Vegas, NV 89147-8729
Phone (702) 852-1477

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

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1902712979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E ROCHELLE AVE APT 232",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195531",
            "telephone_number": "702-843-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ROCHELLE AVE APT 232",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195531",
            "telephone_number": "702-843-5531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8871 W Flamingo Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478729",
            "country_code": "US",
            "telephone_number": "702-852-1477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILES",
        "first_name": "SHANEQUA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-23-282372",
            "primary": true
        }
    ],
    "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 Aug 24, 2026; 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.