Individual provider Active NPI

Candice Ashley Delto-Alambatin

  • Behavior Analyst
  • Henderson, NV
National Provider Identifier
1548705015
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2821 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-4429
Phone
(702) 840-1182
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NV
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2821 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-4429

Mailing address

2821 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-4429
Phone (808) 498-6590

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Autism & Behavioral Solutions, LLC Behavior Analyst Past Accepting new patients
Little Lemons Therapy LLC Behavior Analyst PastSince Jun 1, 2021 Accepting new patients
Southwest Autism & Behavioral Solutions Behavior Analyst Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1548705015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 W HORIZON RIDGE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524429",
            "telephone_number": "808-498-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 W HORIZON RIDGE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524429",
            "telephone_number": "702-840-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELTO-ALAMBATIN",
        "first_name": "CANDICE ASHLEY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.