Individual provider Active NPI

Amanda Renee Sorensen, M.A., BCBA

  • Behavior Analyst
  • Las Cruces, NM
National Provider Identifier
1033404116
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23971 Issued in CA
Practice address
1250 Hillrise Cir
Las Cruces, NM 88011-4741
Phone
(575) 288-1881
Fax
(575) 288-1889
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-23971 CA Primary

Addresses

Primary practice location

1250 Hillrise Cir
Las Cruces, NM 88011-4741

Mailing address

1054 Florence Ave
Colorado Springs, CO 80905-3509
Phone (505) 919-8023

Other practice location 1

350 Terry St Ste 200
Longmont, CO 80501-5464
Phone (303) 353-1122

Other practice location 2

1054 Florence Ave
Colorado Springs, CO 80905-3509
Phone (719) 377-2403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Behavioral Services, LLC Behavior Analyst CurrentSince Apr 20, 2025 Accepting new patients
Angels of Care Pediatric Home Health Colorado, LLC. PastSince Jun 1, 2024 Accepting new patients
Greenlight ABA Az LLC Behavior Analyst PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1033404116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 FLORENCE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809053509",
            "telephone_number": "505-919-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HILLRISE CIR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114741",
            "telephone_number": "575-288-1881",
            "fax_number": "575-288-1889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Terry St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805015464",
            "country_code": "US",
            "telephone_number": "303-353-1122",
            "fax_number": "201-676-2580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1054 Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809053509",
            "country_code": "US",
            "telephone_number": "719-377-2403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-16-23971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.