Individual provider Active NPI

Cameron Mary Sinquimani, M.ED., BCBA, LBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1992066609
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0172 Issued in NV
Practice address
630 S Rancho Dr Ste a
Las Vegas, NV 89106
Phone
(702) 998-9505
Fax
(702) 527-7939
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-11-9681 WA
Behavior Analyst 103K00000X LBA0172 NV Primary

Addresses

Primary practice location

630 S Rancho Dr Ste a
Las Vegas, NV 89106

Mailing address

630 S Rancho Dr Ste D
Las Vegas, NV 89106-4849

Other practice location 1

Uw Autism Ctr
1701 NE Columbia Rd
Seattle, WA 98195-7921
Phone (206) 221-5235

Other practice location 2

Uw Autism Ctr
1701 NE Columbia Rd
Seattle, WA 98195-7921
Phone (206) 221-5235

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LBA0172NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Ackerman Autism Center, LLC Past Accepting new patients

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1992066609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RANCHO DR STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RANCHO DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-998-9505",
            "fax_number": "702-527-7939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uw Autism Ctr",
            "address_2": "1701 NE Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981957921",
            "country_code": "US",
            "telephone_number": "206-221-5235",
            "fax_number": "206-598-7815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Uw Autism Ctr",
            "address_2": "1701 NE Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981957921",
            "country_code": "US",
            "telephone_number": "206-221-5235",
            "fax_number": "206-598-7815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINQUIMANI",
        "first_name": "CAMERON",
        "middle_name": "MARY",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-11-9681",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0172",
            "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 Aug 16, 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.

Verify at the official NPI Registry.