Active NPI
Ardrena Boykins
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1932681772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-76468
- Practice address
- 2110 E Flamingo Rd Ste 150
Las Vegas, NV 89119 - Phone
- (702) 270-3219
- Fax
- (866) 833-2056
- NPI assigned
- Aug 29, 2018
- 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 Technician | 106S00000X | RBT-19-76468 | NV | Primary |
Addresses
Primary practice location
2110 E Flamingo Rd Ste 150
Las Vegas, NV 89119
Mailing address
2110 E Flamingo Rd Ste 150
Las Vegas, NV 89119-5190
Phone (702) 270-3219
Other practice location 1
7318 W Post Rd #280
Las Vegas, NV 89113
Phone (800) 615-2361
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 |
|---|---|---|---|
| RBT-19-76468 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Autism & Behavioral Solutions, LLC | Past | Accepting new patients | |
| Southwest Autism & Behavioral Solutions | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1497168744
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1336464460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1932681772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 E FLAMINGO RD STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195190",
"telephone_number": "702-270-3219",
"fax_number": "866-833-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 E FLAMINGO RD STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "702-270-3219",
"fax_number": "866-833-2056"
}
],
"practiceLocations": [
{
"address_1": "7318 W Post Rd #280",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89113",
"country_code": "US",
"telephone_number": "800-615-2361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYKINS",
"first_name": "ARDRENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-19-76468",
"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 Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.