Individual provider Active NPI

Blend Marie Reyes

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1942232434
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT3558 Issued in NV
Practice address
7560 W Sahara Ave Ste 107
Las Vegas, NV 89117-2745
Phone
(702) 476-2633
Fax
(702) 979-1028
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P49710 NY
Behavior Technician 106S00000X RBT-23-281314 NV
Behavior Technician 106S00000X RBT3558 NV Primary

Addresses

Primary practice location

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

Mailing address

5575 Simmons St Ste 1-491
North Las Vegas, NV 89031-9009
Phone (702) 476-2633

Other names 1

  • Blend Marie Dinglasan Other name

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-23-281314NVMDBehavior Technician
RBT3558NVMDBehavior Technician
P49710NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Autism & Behavioral Consulting Services CurrentSince Jul 9, 2023 Accepting new patients
Autism & Behavioral Consulting Services Behavior Technician CurrentSince Jul 9, 2023 Accepting new patients
Doctors United, Inc PastSince Dec 8, 2003 Accepting new patients
R.G. Medical, PC Past Accepting new patients

Locations

7560 W Sahara Ave
Ste 107
Las Vegas, NV 89117
Phone (702) 283-6215

5575 Simmons St
Ste 1491
North Las Vegas, NV 89031
Phone (702) 283-6215

Organizations & group practices 4

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1942232434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 SIMMONS ST STE 1-491",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319009",
            "telephone_number": "702-476-2633",
            "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": "702-476-2633",
            "fax_number": "702-979-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "BLEND",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "P49710",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-23-281314",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT3558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLEND",
            "last_name": "DINGLASAN",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 6, 2023; 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.