Kellie Qishon Cangas, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22- Issued in NV

Practice address

3950 Las Vegas Blvd N # A2
Las Vegas, NV 89115-0598

Phone

(702) 547-6971

Fax

(702) 547-6948

NPI assigned

Nov 22, 2022

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

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1699484139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748162",
            "telephone_number": "702-547-6971",
            "fax_number": "702-547-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 LAS VEGAS BLVD N # A2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150598",
            "telephone_number": "702-547-6971",
            "fax_number": "702-547-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGAS",
        "first_name": "KELLIE",
        "middle_name": "QISHON",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-22-",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-22-",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Canedo, CSWI
• Nancy Lizet Canela
• Marina Kurahashi Canelon, RPH
• Maria Canfuch Perez
• Cyril Cherisse Canga, D.M.D.
• Richard Canicatti
• Maria Lynna Tambanillo Canindo, RN
• Jaron Canja
• Michael Lyndon Bato Canlapan
• Noralyn Canlapan

• 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 Nov 22, 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.