Individual provider Active NPI

Maria del Carmen Cervera Ponce, RBT

  • Behavior Analyst
  • Reno, NV
National Provider Identifier
1275046872
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0877 Issued in NV
Practice address
431 W Plumb LN
Reno, NV 89509-3766
Phone
(775) 200-0935
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0877 NV Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

431 W Plumb LN
Reno, NV 89509-3766

Mailing address

1625 E Prater Way Ste 107
Sparks, NV 89434-8963
Phone (775) 825-4744

Other practice location 1

1325 Airmotive Way Ste 276
Reno, NV 89502-3240
Phone (775) 420-5383

Other practice location 2

1325 Airmotive Way Ste 276
Reno, NV 89502-3240
Phone (775) 420-5383

Other practice location 3

4600 Kietzke Ln Ste O260
Reno, NV 89502
Phone (702) 972-6823

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
LBA0877NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Health Services, LLC CurrentSince Apr 21, 2024 Accepting new patients

Locations

4600 Kietzke Ln
Ste O260
Reno, NV 89502
Phone (775) 825-9995

431 W Plumb Ln
Reno, NV 89509
Phone (702) 994-6175

3855 Warren Way
Reno, NV 89509

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.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1275046872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E PRATER WAY STE 107",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348963",
            "telephone_number": "775-825-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W PLUMB LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093766",
            "telephone_number": "775-200-0935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Airmotive Way Ste 276",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895023240",
            "country_code": "US",
            "telephone_number": "775-420-5383",
            "fax_number": "775-420-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Airmotive Way Ste 276",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895023240",
            "country_code": "US",
            "telephone_number": "775-420-5383",
            "fax_number": "775-420-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Kietzke Ln Ste O260",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89502",
            "country_code": "US",
            "telephone_number": "702-972-6823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVERA PONCE",
        "first_name": "MARIA DEL CARMEN",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0877",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.