Individual provider Active NPI

Diana Tabares Avila

  • Behavior Analyst
  • Reno, NV
National Provider Identifier
1306352984
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3500 Lakeside CT Ste 101
Reno, NV 89509-4862
Phone
(775) 786-6880
NPI assigned
Dec 19, 2017
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 NU Primary

Addresses

Primary practice location

3500 Lakeside CT Ste 101
Reno, NV 89509-4862

Mailing address

3500 Lakeside CT Ste 101
Reno, NV 89509-4862
Phone (775) 786-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206003354 NV Practitioner - Clinical Social Worker 8426407131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nevada School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health AllianceGroup PAC ID 3577540160, 53 clinicians

Practice addresses (Care Compare)

5055 Sun Valley Blvd
Suite 100
Sun Valley, NV 89433-8296
Phone (775) 870-4334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Alliance Current Accepting new patients
Community Health Alliance CurrentSince Sep 25, 2023 Accepting new patients
Community Health Alliance CurrentSince Sep 25, 2023 Accepting new patients

Locations

1055 S Wells Ave
Reno, NV 89502
Phone (775) 336-3035

1055 S Wells Ave
#120
Reno, NV 89502
Phone (775) 336-3021

280 Vista Knoll Pkwy
Ste 107
Reno, NV 89506
Phone (775) 250-0607

330 Crampton St
Reno, NV 89502
Phone (775) 336-3700

3915 Neil Rd
Reno, NV 89502
Phone (775) 870-4333

680 S Rock Blvd
Reno, NV 89502
Phone (775) 336-3003

2244 Oddie Blvd
Sparks, NV 89431
Phone (775) 997-7300

5055 Sun Valley Blvd
Ste 100
Sun Valley, NV 89433
Phone (775) 870-4334

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, 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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1306352984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LAKESIDE CT STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094862",
            "telephone_number": "775-786-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LAKESIDE CT STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094862",
            "telephone_number": "775-786-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARES AVILA",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.