Individual provider Active NPI

Amie Carr

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1114662830
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3515 W Charleston Blvd
Las Vegas, NV 89102-1839
Phone
(702) 900-7698
Fax
(702) 825-0791
NPI assigned
Apr 28, 2022
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

3515 W Charleston Blvd
Las Vegas, NV 89102-1839

Mailing address

4132 S Rainbow Blvd # 175
Las Vegas, NV 89103-3106
Phone (702) 900-7698

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL stellaraba.com Stellar Behavioral Consulting Ltd

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Behavioral Consulting LTD Behavior Technician CurrentSince May 1, 2022 Accepting new patients

Locations

3515 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 382-1033

4132 S Rainbow Blvd
Las Vegas, NV 89103
Phone (702) 706-8062

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1114662830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 S RAINBOW BLVD # 175",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033106",
            "telephone_number": "702-900-7698",
            "fax_number": "702-825-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021839",
            "telephone_number": "702-900-7698",
            "fax_number": "702-825-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "AMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stellaraba.com",
            "affiliation": "Y",
            "endpointDescription": "Stellar ABA website",
            "affiliationName": "Stellar Behavioral Consulting Ltd",
            "address_1": "3515 W Charleston Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891021839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 28, 2022; 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.