Lyle Anthony Agoncillo Abapo
Individual provider Active NPI Behavior Technician · Las Vegas, NV
NPI 1982353611 · NPPES record last updated Mar 21, 2022
Key facts
- NPI
- 1982353611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5940 S Rainbow Blvd
Las Vegas, NV 89118-2506 - Phone
- (888) 531-8385
- NPI assigned
- Mar 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Vegas Autism Center, LLC | Behavior Technician | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | Yes |
Addresses
Primary practice location
5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Mailing address
3921 Diamond Ridge St
Las Vegas, NV 89129-7059
Other providers in Las Vegas, NV
- Kasey Laz Abanonu Jr.
- Ivy Marie Abante
- Reymar Abante
- Levi Luke Manuel Abao
- Nuhamin Abaoli
- Juan Francisco Abarca Paredes
- America Abarca
- Lourdes Abarca
- Maria Abarca
- Monique Asha Nicole Abarca
All providers in Las Vegas, NV · Behavior Technician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.