Active NPI
Katerina Marie Arredondo
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1801413547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT1554
- Practice address
- 7261 W Charleston Blvd Ste 101
Las Vegas, NV 89117-1679 - Phone
- (702) 901-5200
- NPI assigned
- Jun 29, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT1554 | NV | |
| Behavior Technician | 106S00000X | |||
| Behavior Technician | 106S00000X | RBT1554 | NV | Primary |
Addresses
Primary practice location
7261 W Charleston Blvd Ste 101
Las Vegas, NV 89117-1679
Mailing address
10449 Wild Bill CT
Las Vegas, NV 89129-6411
Phone (702) 505-1991
Other practice location 1
3101 W Charleston Blvd
Las Vegas, NV 89102-1931
Phone (702) 831-6670
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 |
|---|---|---|---|
| RBT1554 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tandem Therapy Services | Past | Accepting new patients | |
| Tandem Therapy Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1215056478
-
- Speech-Language Pathologist
- Las Vegas, NV
- NPI 1356724652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1801413547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10449 WILD BILL CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891296411",
"telephone_number": "702-505-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7261 W CHARLESTON BLVD STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171679",
"telephone_number": "702-901-5200"
}
],
"practiceLocations": [
{
"address_1": "3101 W Charleston Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021931",
"country_code": "US",
"telephone_number": "702-831-6670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARREDONDO",
"first_name": "KATERINA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "RBT1554",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT1554",
"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 Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.