Karla Cecilia Carrillo Lazalde

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-21-179919 Issued in NE

Practice address

1299 Farnam St Ste 300
Omaha, NE 68102-1857

Phone

(402) 235-1460

NPI assigned

Sep 10, 2021

Last updated

Sep 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• KC Carrillo Lazalde Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1013686120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 N 23RD ST APT 108",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211094",
            "telephone_number": "308-627-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 FARNAM ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021857",
            "telephone_number": "402-235-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO LAZALDE",
        "first_name": "KARLA",
        "middle_name": "CECILIA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NE",
            "license": "RBT-21-179919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KC",
            "last_name": "CARRILLO LAZALDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Greybel Carrero
• Taylor Sandra Carrick, MS, RDN, LMNT, LD
• Tory L Carrick
• Catherine A Carrico, APRN
• Grant Carrig
• Dane Carrillo
• Serena D Carrillo
• Vanessa A Carrison, PLMHP
• Aezia Simmone Carroll
• Anastasia L Carroll

• Behavior Analyst in Omaha, NE
• Providers in Omaha, NE by specialty
• Behavior Analyst in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.