Individual provider Active NPI

Anisley Calderon-Hernandez, RBT CERTIFICATED

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1790233740
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20120041 Issued in FL
Practice address
2255A Renaissance Dr
Suite a
Las Vegas, NV 89119-6194
Phone
(702) 451-7542
Fax
(702) 450-4239
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Behavior Technician 106S00000X RBT20120041 FL Primary

Addresses

Primary practice location

2255A Renaissance Dr
Suite a
Las Vegas, NV 89119-6194

Mailing address

2255A Renaissance Dr Ste a
Las Vegas, NV 89119-6194
Phone (702) 451-7542

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

LicenseStateTypeSpecialty
RBT20120041FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Bilingual Services, Inc. CurrentSince Jun 7, 2020 Accepting new patients

Locations

2255 Renaissance Dr
Ste A
Las Vegas, NV 89119
Phone (702) 471-0420

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1790233740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255A RENAISSANCE DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196194",
            "telephone_number": "702-451-7542",
            "fax_number": "702-450-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255A RENAISSANCE DR",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196194",
            "telephone_number": "702-451-7542",
            "fax_number": "702-450-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON-HERNANDEZ",
        "first_name": "ANISLEY",
        "credential": "RBT CERTIFICATED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20120041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.