Dakota Agustin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-146239 Issued in NV

Practice address

2820 W Charleston Blvd Ste 22
Las Vegas, NV 89102-1933

Phone

(702) 900-7698

Fax

(702) 825-0791

NPI assigned

Sep 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1932714128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 S RAINBOW BLVD # 175",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033106",
            "telephone_number": "702-900-7698",
            "fax_number": "702-825-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 22",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021933",
            "telephone_number": "702-900-7698",
            "fax_number": "702-825-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSTIN",
        "first_name": "DAKOTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT1510",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-20-146239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stellaraba.com",
            "affiliation": "Y",
            "endpointDescription": "Stellar ABA website",
            "affiliationName": "Stellar Behavioral Consulting Ltd",
            "address_1": "2820 W Charleston Blvd Ste 22",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891021933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ruben Agundez
• Darlene Aguon
• Blanca Luvia Agustin Najera
• Arbie Agustin
• Claudia Agustin
• Fe Agustin
• Jem Agustin
• Junwyn Thomas Valdez Agustin, PT
• Josephine Agusto
• Ezrah Agyemang, REGISTERED NURSE

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.