Provider Demographics
NPI:1457245920
Name:RODRIGUEZ MONTENEGRO, GISELLE N/A (RBT)
Entity type:Individual
Prefix:MS
First Name:GISELLE
Middle Name:N/A
Last Name:RODRIGUEZ MONTENEGRO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 N GRAND CANYON DR
Mailing Address - Street 2:2060
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166
Mailing Address - Country:US
Mailing Address - Phone:725-303-8745
Mailing Address - Fax:
Practice Address - Street 1:2920 S RAINBOW BLVD STE 180
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6227
Practice Address - Country:US
Practice Address - Phone:702-600-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT-24-381728106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician