Individual provider Active NPI

Carolina Garcia Gomez

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1457036287
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT3531 Issued in NV
Practice address
7560 W Sahara Ave Ste 107
Las Vegas, NV 89117-2745
Phone
(702) 476-2633
Fax
(702) 979-1028
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 RBT3531 NV Primary

Addresses

Primary practice location

7560 W Sahara Ave Ste 107
Las Vegas, NV 89117-2745

Mailing address

5575 Simmons St Ste 1-491
North Las Vegas, NV 89031-9009
Phone (702) 476-2633

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
RBT3531NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism & Behavioral Consulting Services CurrentSince Jun 25, 2023 Accepting new patients
Autism & Behavioral Consulting Services Behavior Technician CurrentSince Jun 25, 2023 Accepting new patients

Locations

7560 W Sahara Ave
Ste 107
Las Vegas, NV 89117
Phone (702) 283-6215

5575 Simmons St
Ste 1491
North Las Vegas, NV 89031
Phone (702) 283-6215

Organizations & group practices 2

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1457036287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 SIMMONS ST STE 1-491",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319009",
            "telephone_number": "702-476-2633",
            "fax_number": "702-979-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 W SAHARA AVE STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172745",
            "telephone_number": "702-476-2633",
            "fax_number": "702-979-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA GOMEZ",
        "first_name": "CAROLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT3531",
            "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 Jun 20, 2023; 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.