Active NPI
Kimberly Cobos, RBT
- Behavior Technician
- North Las Vegas, NV
National Provider Identifier
1700424348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT1023
- Practice address
- 3850 W Ann Rd Ste 120
North Las Vegas, NV 89031-4407 - Phone
- (702) 323-6555
- NPI assigned
- Dec 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT1023 | NV | Primary |
Addresses
Primary practice location
3850 W Ann Rd Ste 120
North Las Vegas, NV 89031-4407
Mailing address
1825 Camino Mirada
North Las Vegas, NV 89031-1093
Phone (702) 287-6872
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-102654 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD | |
| RBT1023 | Other | NV | NEVADA AGING AND DISABILITY SERVICES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT1023 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1700424348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 CAMINO MIRADA",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890311093",
"telephone_number": "702-287-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 W ANN RD STE 120",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890314407",
"telephone_number": "702-323-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBOS",
"first_name": "KIMBERLY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT1023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "RBT-19-102654",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA AGING AND DISABILITY SERVICES",
"identifier": "RBT1023",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.