Healthcare Provider Details

I. General information

NPI: 1013835503
Provider Name (Legal Business Name): DAYRON LLANES ANDRES RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9130 EAGLE FORD ST
LAS VEGAS NV
89113-6193
US

IV. Provider business mailing address

7000 PARADISE RD APT 1123
LAS VEGAS NV
89119-4477
US

V. Phone/Fax

Practice location:
  • Phone: 725-254-8037
  • Fax:
Mailing address:
  • Phone: 725-242-3815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: