Individual provider Active NPI

Angela Watlington

  • Behavior Technician
  • North Las Vegas, NV
National Provider Identifier
1912345125
Registry record updated Apr 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-15073 Issued in NV
Practice address
2929 E Centennial Pkwy
Unit 235
North Las Vegas, NV 89081-8114
Phone
(650) 207-5610
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Behavior Technician 106S00000X RBT-16-15073 NV Primary

Addresses

Primary practice location

2929 E Centennial Pkwy
Unit 235
North Las Vegas, NV 89081-8114

Mailing address

2929 E Centennial Pkwy
Unit 235
North Las Vegas, NV 89081-8114
Phone (650) 207-5610

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-16-15073NVMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493424000000",
    "number": "1912345125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E CENTENNIAL PKWY",
            "address_2": "UNIT 235",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890818114",
            "telephone_number": "650-207-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 E CENTENNIAL PKWY",
            "address_2": "UNIT 235",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890818114",
            "telephone_number": "650-207-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATLINGTON",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2017-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-16-15073",
            "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 Apr 29, 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.

Verify at the official NPI Registry.