Organization Active NPI

Rogue Autism Rebels

  • Behavior Analyst
  • Albuquerque, NM
National Provider Identifier
1679128565
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ROGUE AUTISM REBELS
Doing business as
Rogue Autism Rebels
Practice address
10899 Montgomery Blvd NE Ste B
Albuquerque, NM 87111-3935
Phone
(505) 585-4135
NPI assigned
Aug 7, 2019
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Amber SuarezNPI 1255625596
Title
Director of Finance
Phone
(702) 328-4634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10899 Montgomery Blvd NE Ste B
Albuquerque, NM 87111-3935

Mailing address

7600 S Rainbow Blvd Apt 2145
Las Vegas, NV 89139-0500

Other practice location 1

2636 S King St
Denver, CO 80219-5837
Phone (720) 688-1767

Other names 1

  • Rogue Autism Rebels Doing business as

National Provider Directory

National Provider Directory

Locations

1710 Central Ave SE
Albuquerque, NM 87106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1679128565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 S RAINBOW BLVD APT 2145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891390500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10899 MONTGOMERY BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113935",
            "telephone_number": "505-585-4135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2636 S King St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802195837",
            "country_code": "US",
            "telephone_number": "720-688-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROGUE AUTISM REBELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "702-328-4634"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogue Autism Rebels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.