Phamela De Vera, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT3879 Issued in NV

Practice address

2075 E Windmill Lane
Ste. 150
Las Vegas, NV 89123

Phone

(702) 326-5996

NPI assigned

Jul 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Autism Care West LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1578803623
  NPD
• Center for Autism & Behavior Analysis, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1447600143
  NPD (past)
• Center for Autism and Related Disorders LLC

  • Behavior Analyst
  • San Jose, CA
  • NPI 1740437029
  NPD (past)

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1649943267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 E WINDMILL LANE",
            "address_2": "STE. 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89123",
            "telephone_number": "702-850-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E WINDMILL LANE",
            "address_2": "STE. 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89123",
            "telephone_number": "702-326-5996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 Snell Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951361305",
            "country_code": "US",
            "telephone_number": "408-618-5265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "PHAMELA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-09-18",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT3879",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elza De Souza
• Mario De Souza
• Giulianna De Stefani, LMFT
• Guillermo De Valencia
• Adrian Zachary Cu De Vera, MD
• Richard Del Fierro De Vera, FNP-C
• Rommel De Vera, D.O.
• Neisy De-la-Torrez-Faba
• Davina Rayanna De'Jonne
• Krisha Deadmond

• 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 Sep 18, 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.

Verify at the official NPI Registry.