Active NPI
Karisa Deandra Salva Odrunia, RBT
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1104459304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-112804
- Practice address
- 3481 E Sunset Rd Ste 110
Las Vegas, NV 89120-6207 - Phone
- (657) 444-9002
- NPI assigned
- Feb 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-112804 | NV | Primary |
Addresses
Primary practice location
3481 E Sunset Rd Ste 110
Las Vegas, NV 89120-6207
Mailing address
3481 E Sunset Rd Ste 110
Las Vegas, NV 89120-6207
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-112804 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patterns Behavioral Services Nevada, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Henderson, NV
- NPI 1710455571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1104459304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3481 E SUNSET RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891206207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3481 E SUNSET RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891206207",
"telephone_number": "657-444-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODRUNIA",
"first_name": "KARISA DEANDRA",
"middle_name": "SALVA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-15",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-20-112804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.