Abigail Rebecca Boron, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT3493 Issued in NV

Practice address

3652 Calico Cove CT
Las Vegas, NV 89147

Phone

(315) 256-6138

Fax

(702) 430-7660

NPI assigned

Jun 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• ABA Group

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1992668206
  NPD
• Ndbi

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1639965999
  NPD

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1467136754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 WOODLORE PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891445427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 CALICO COVE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89147",
            "telephone_number": "315-256-6138",
            "fax_number": "702-430-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORON",
        "first_name": "ABIGAIL",
        "middle_name": "REBECCA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT3493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Born to Bloom LLC
• Jessica Born
• Sara Borne, AA
• Sami Borno, DO
• Barry Yves Bornstein, PA
• Edina Boros, APRN
• Caitlyn Borowicz
• Laura Borquez
• Leticia Borquez
• Natalia Borquez, RBT

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.