Individual provider Active NPI

Coty Price Hentzell, RBT

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1942018452
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-402489 Issued in NV
Practice address
7560 W Sahara Ave Ste 107
Las Vegas, NV 89117-2745
Phone
(702) 336-6085
Fax
(702) 979-1028
NPI assigned
Dec 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-402489 NV Primary

Addresses

Primary practice location

7560 W Sahara Ave Ste 107
Las Vegas, NV 89117-2745

Mailing address

5575 Simmons St # 1-491
North Las Vegas, NV 89031-9009
Phone (702) 336-6085

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-24-402489NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism & Behavioral Consulting Services Behavior Technician PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1942018452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 SIMMONS ST # 1-491",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319009",
            "telephone_number": "702-336-6085",
            "fax_number": "702-979-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 W SAHARA AVE STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172745",
            "telephone_number": "702-336-6085",
            "fax_number": "702-979-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTZELL",
        "first_name": "COTY",
        "middle_name": "PRICE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-24-402489",
            "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 Dec 30, 2024; 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.