Individual provider Active NPI

Victoria Kaye Camacho

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1285394908
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-0743-113844 Issued in CA
Practice address
8390 W Windmill LN
Las Vegas, NV 89113-4420
Phone
(702) 485-1310
NPI assigned
Dec 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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 RBT-18-0743-113844 CA Primary

Addresses

Primary practice location

8390 W Windmill LN
Las Vegas, NV 89113-4420

Mailing address

9350 S Cimarron Rd Unit 4030
Las Vegas, NV 89178-2541
Phone (760) 662-0731

Other practice location 1

5980 S Durango Dr
Las Vegas, NV 89113-1779
Phone (888) 505-1637

Other names 1

  • Victoria Kaye Baker-Zunza Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL SOAPnotes Direct Family First Learning Center

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
RBT-18-0743-113844CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1285394908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 S CIMARRON RD UNIT 4030",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891782541",
            "telephone_number": "760-662-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W WINDMILL LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134420",
            "telephone_number": "702-485-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 S Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891131779",
            "country_code": "US",
            "telephone_number": "888-505-1637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "VICTORIA",
        "middle_name": "KAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-0743-113844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAPnotes",
            "affiliation": "Y",
            "endpointDescription": "Initials",
            "affiliationName": "Family First Learning Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "8390 W Windmill Ln",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891134420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "BAKER-ZUNZA",
            "middle_name": "KAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 3, 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.