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Abigail Rebecca Boron, RBT

Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).

NPI number1467136754
StatusActive
Last updated in NPPESJun 23, 2023

Details

NPI
1467136754
Entity type
Individual (NPI-1)
Name
Abigail Rebecca Boron
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2023
Certification date
Jun 23, 2023
Last updated
Jun 23, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT3493NVYes

Practice location

3652 Calico Cove Ct
Las Vegas, NV 89147

Phone 315-256-6138 · Fax 702-430-7660

Mailing address

10777 Woodlore Pl
Las Vegas, NV 89144-5427

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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