Shakauwra Sandoval

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4760 S Pecos Rd # 100-001
Las Vegas, NV 89121-6038

Phone

(702) 683-9050

NPI assigned

May 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Health and Wellness of Nevada LLC

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1417661356
  NPD Authorized official
• Health and Wellness of California LLC

  • Psychiatry Physician
  • Stockton, CA
  • NPI 1285524728
  NPD Authorized official
• Health and Wellness of Mi LLC

  • General Practice Physician
  • Detroit, MI
  • NPI 1831036284
  NPD Authorized official

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1144919085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W CRAIG RD",
            "address_2": "E-288",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-683-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD # 100-001",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216038",
            "telephone_number": "702-683-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "SHAKAUWRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M. Sandoval Jr.
• Rosa Angelica Sandoval
• Rozalyn Sandoval
• Samantha Dawn Sandoval
• Samantha Olivia Sandoval
• Silvia Sandoval
• Silvia Sandoval
• Victor Andrew Sandoval, DDS
• Vincent Sandoval
• Xochilth Sandoval

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

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