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Deactivated NPI 1063050466 Deactivated / Inactive NPI Male Practitioner

Mark Scott Long

Behavior Technician • Las Vegas, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Long has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 16, 2019
NPI Deactivation Date July 31, 2025
Total Practice Duration ~6 Years of Practice (2019 – 2025)

Professional Overview & Biography Verified Profile Summary

Mark Long was a registered Behavior Technician practicing in Las Vegas, NV. Throughout an active medical career spanning 6 years, Mark Long provided care at the practice location at 7351 W CHARLESTON BLVD STE 12O until profile deactivation on 2025-07-31.

Practice Location & Contact Primary Location

Practice Address

7351 W Charleston Blvd Ste 12o

Las Vegas, NV 891171502

Telephone 7024700620
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.3 Yrs
State Avg: 2.3 Yrs
Regional Practice Density
4089 Specialists

Practicing in Las Vegas, NV (6407 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carolene Rodezno

Assistant Behavior Analyst

NPI 1003475997
Aishya Ransom

Behavior Technician

NPI 1043810278
Davon Martin

Behavior Technician

NPI 1063178705
Heaven Cross-Lomeli

Behavior Technician

NPI 1073257820
Wende Yamaguchi

Behavior Analyst

NPI 1083178958
Chrystal Pearson

Behavior Analyst

NPI 1083229827

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 31, 2025

Record deactivated on July 31, 2025

NPI Profile Active December 16, 2019

NPI status registered as active in NPPES database

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Updated Practice Location December 16, 2019

Registered at 7351 W CHARLESTON BLVD STE 12O, LAS VEGAS, NV 891171502 (Tel: 7024700620)

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Updated Business Mailing Address December 16, 2019

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 9493316025)

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Provider Name / Credentials Updated December 16, 2019

Recorded as MARK LONG

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2019

Behavior Technician

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Initial NPI Registration & Enumeration December 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063050466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2019
Last Update: December 16, 2019
Deactivation Date: July 31, 2025

Mailing Address

21600 Oxnard St Ste 1800

Woodland Hills, CA 913677807

Phone: 9493316025

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.