Lyle Anthony Agoncillo Abapo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5940 S Rainbow Blvd
Las Vegas, NV 89118-2506

Phone

(888) 531-8385

NPI assigned

Mar 21, 2022

Last updated

Mar 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Las Vegas Autism Center, LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1780107599

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1982353611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 DIAMOND RIDGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182506",
            "telephone_number": "888-531-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAPO",
        "first_name": "LYLE ANTHONY",
        "middle_name": "AGONCILLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Laz Abanonu Jr., MD
• Ivy Marie Abante
• Reymar Abante, APRN
• Levi Luke Manuel Abao
• Nuhamin Abaoli
• Juan Francisco Abarca Paredes, FNP-C
• America Abarca
• Lourdes Abarca
• Maria Abarca
• Monique Asha Nicole Abarca

• 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 Mar 21, 2022; 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.