Individual provider Active NPI

Wevielyn Enverga Maningas, RBT

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1942794177
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-87949 Issued in NV
Practice address
7125 Grand Montecito Pkwy Ste 130
Las Vegas, NV 89149-0261
Phone
(702) 396-0101
NPI assigned
Jun 20, 2018
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 00005321 CA
Behavior Technician 106S00000X RBT-19-87949 NV Primary

Addresses

Primary practice location

7125 Grand Montecito Pkwy Ste 130
Las Vegas, NV 89149-0261

Mailing address

7616 Finishing Touch CT
Las Vegas, NV 89149-0458
Phone (650) 290-0721

Other practice location 1

1001 Sneath Ln
San Bruno, CA 94066-2308
Phone (510) 914-1104

Other names 1

  • Miss Wevielyn Salvaleon Enverga Former 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
00005321CAMDBehavior Technician
RBT-19-87949NVMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1942794177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 FINISHING TOUCH CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490458",
            "telephone_number": "650-290-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 GRAND MONTECITO PKWY STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490261",
            "telephone_number": "702-396-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Sneath Ln",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "940662308",
            "country_code": "US",
            "telephone_number": "510-914-1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANINGAS",
        "first_name": "WEVIELYN",
        "middle_name": "ENVERGA",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "00005321",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-19-87949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WEVIELYN",
            "last_name": "ENVERGA",
            "middle_name": "SALVALEON",
            "prefix": "MISS",
            "code": "1",
            "type": "Former 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 Jun 12, 2020; 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.