Andrea Paredes

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT3222 Issued in NV

Practice address

5575 S Durango Dr Ste 102
Las Vegas, NV 89113-1834

Phone

(702) 209-3544

NPI assigned

Feb 5, 2020

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1528690823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 RANCHO LN STE 25",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063806",
            "telephone_number": "702-822-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 S DURANGO DR STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131834",
            "telephone_number": "702-209-3544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Rancho Ln Ste 25",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891063806",
            "country_code": "US",
            "telephone_number": "702-822-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "RBT3222",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT3222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "2105701898",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Parcon, MD
• Pardis a. Kelly DPM Inc. (Las Vegas Footcare)
• Maryoric Pardo Pardo, RBT
• Ivan M Pardo- Abreu
• Sucell Cabrera Pardo
• Aracelica Paredes
• Beatriz Paredes
• Jacqueline Paredes
• Janette Paredes
• Mariana Paredes

• 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 Jan 31, 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.