Carolina Blanco de Serralvo, QBA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4714 E Flamingo Rd
Las Vegas, NV 89121-4709

Phone

(702) 665-9554

NPI assigned

Apr 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1033738844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214709",
            "telephone_number": "702-665-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214709",
            "telephone_number": "702-665-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO DE SERRALVO",
        "first_name": "CAROLINA",
        "credential": "QBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ICANOTES.COM",
            "affiliation": "Y",
            "endpointDescription": "BEHAVIORAL HEALTH",
            "affiliationName": "Sunshine Mental Health & Wellness",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4714 E Flamingo Rd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891214709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William James Blanchette Jr.
• Evelin Blanco Bolano
• Donna Nicole Blanco Castro
• Lisandra Blanco Chacon, RBT
• Livier Blanco de Michel
• Osnel Blanco Oroceno
• Alicia Blanco Rodriguez
• Alain Blanco Verdecia
• Neri Maria Blanco-Cuevas, MD
• Amber Blanco

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.