Gabriel Ordaz Jimenez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT3150 Issued in NV

Practice address

1625 E Prater Way Ste 107
Sparks, NV 89434-8963

Phone

(775) 825-4744

Fax

(775) 351-1644

NPI assigned

Dec 13, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1730890435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E PRATER WAY STE 107",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348963",
            "telephone_number": "775-825-4744",
            "fax_number": "775-351-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E PRATER WAY STE 107",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348963",
            "telephone_number": "775-825-4744",
            "fax_number": "775-351-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDAZ JIMENEZ",
        "first_name": "GABRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "RBT3150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabby@aptkidsnevada.com",
            "affiliation": "N",
            "address_1": "1625 E Prater Way Ste 107",
            "city": "Sparks",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894348963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Behavior Analyst in Sparks, NV
• Providers in Sparks, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.