Individual provider Active NPI

Amber Suarez, BCBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1255625596
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0107 Issued in NV
Practice address
9402 Sandstone Walk St
Las Vegas, NV 89178-8220
Phone
(702) 328-4634
NPI assigned
Jun 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2017

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 LBA0107 NV Primary

Addresses

Primary practice location

9402 Sandstone Walk St
Las Vegas, NV 89178-8220

Mailing address

9402 Sandstone Walk St.
Las Vegas, NV 89178

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

LicenseStateTypeSpecialty
LBA0107NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Autism Rebels Behavior Analyst Current Accepting new patients
702 Point Place Behavior Analyst PastSince Mar 19, 2023 Accepting new patients
702 Point Place Behavior Analyst PastSince Feb 13, 2022 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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1255625596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 SANDSTONE WALK ST.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9402 SANDSTONE WALK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891788220",
            "telephone_number": "702-328-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "AMBER",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0107",
            "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 May 12, 2017; 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.