Active NPI
Andrea Rendon
- Behavior Technician
- Omaha, NE
National Provider Identifier
1396581161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 14301 FBN Parkway Suite 100
Omaha, NE 68154 - Phone
- (402) 807-7447
- NPI assigned
- Jul 2, 2024
- Last updated
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
14301 FBN Parkway Suite 100
Omaha, NE 68154
Mailing address
110 N Rose LN
Columbus, NE 68601-3657
Phone (402) 276-7244
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1396581161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N ROSE LN",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686013657",
"telephone_number": "402-276-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14301 FBN PARKWAY SUITE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "68154",
"telephone_number": "402-807-7447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDON",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
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- Renal Treatment Centers-Illinois Inc (Omaha Harrison Dialysis)
- Pranav Renavikar
- Marc S Rendell, M.D.
- Syeshia Render Render
- Renewal Mental Health Services
- Renewed Image LLC (Renewed Image)
- Renewed Life Counseling
- Renewed Minds, LLC
- Renewed Reflections, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.