EDMUND ROBERTO SANTOS (NPI# 1417301532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417301532 |
| Entity Type | Individual |
| Full Name | EDMUND ROBERTO SANTOS |
| Credential | BCABA |
| Practice Address |
731 Mall Ring Cir Suite 215 Henderson NV 89014-6683 |
| Practice Telephone | 7025476971 |
| Practice Fax Number | 7025476948 |
| Mailing Telephone | 7025476971 |
| Mailing Fax Number | 7025476948 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | RBT-15-02170 | NV | Behavioral Health & Social Service Providers |
| Y | 106E00000X | Assistant Behavior Analyst | 0-19-9614 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | BACB | 0-19-9614 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4315 N Rancho Dr Ste 110, Las Vegas, NV 891303437 | 7026867047 | |
| 5502 S Fort Apache Rd # 200, Las Vegas, NV 891487683 | 7025476971 | 7025476948 |
| Street Address |
731 MALL RING CIR SUITE 215 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-6683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396702577 | Harout V Gostanian | Dentist | 731 Mall Ring Cir, Ste. 101, Henderson, NV 89014-6683 | 2006-04-29 |
| 1548871817 | Evelyn Cristina Corona | Behavior Technician | 731 Mall Ring Cir, Henderson, NV 89014-6683 | 2020-08-11 |
| 1396372165 | Alison Smith | Behavior Technician | 731 Mall Ring Cir, Henderson, NV 89014-6683 | 2020-03-23 |
| 1902447964 | Serina Franco | Behavior Technician | 731 Mall Ring Cir, Henderson, NV 89014-6683 | 2019-10-01 |
| 1740838143 | Andrew Smith Kopich | Behavior Technician | 731 Mall Ring Cir, Henderson, NV 89014-6683 | 2019-08-28 |
| 1588193106 | Stacie Deane Trejo | Behavior Technician | 731 Mall Ring Cir, Henderson, NV 89014-6683 | 2017-06-07 |
| 1225564578 | Louis Haddad | Behavioral Analyst | 731 Mall Ring Cir, Suite 215, Henderson, NV 89014-6683 | 2017-05-05 |
| 1114458429 | Bethany Delgadillo | Behavioral Analyst | 731 Mall Ring Cir, Suite 215, Henderson, NV 89014-6683 | 2017-03-27 |
| 1497298897 | Stephanie Hernandez | Behavioral Analyst | 731 Mall Ring Cir, Suite 215, Henderson, NV 89014-6683 | 2016-12-02 |
| 1821530379 | Wendy Marquez | Behavioral Analyst | 731 Mall Ring Cir, Suite 215, Henderson, NV 89014-6683 | 2016-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184134991 | Settle Down Aba Inc | Assistant Behavior Analyst | 4350 E Sunset Rd Ste 203, Henderson, NV 89014-2260 | 2017-10-06 |
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|---|---|---|---|---|
| 1144821455 | Helix Behavioral Services | Assistant Behavior Analyst | 150 E Main St Ste 430, Fernley, NV 89408-7744 | 2020-11-03 |
| 1720696743 | Chynna Ellis | Assistant Behavior Analyst | 5148 Garden Ln Apt A, Las Vegas, NV 89119-1787 | 2020-07-15 |
| 1043835846 | Achieving Independence Consulting | Assistant Behavior Analyst | 12645 Cooks Bay Ct, Las Vegas, NV 89141-6117 | 2020-06-08 |
| 1154944056 | Lashaunta Wilson | Assistant Behavior Analyst | 4550 W Oakey Blvd Ste 100b, Las Vegas, NV 89102-1506 | 2020-05-26 |
| 1265068449 | Robert Henry Schomer Jr. | Assistant Behavior Analyst | 5446 Boulder Hwy Ste 2g, Las Vegas, NV 89122-6070 | 2020-03-19 |
| 1487284485 | Stephanie Johnson | Assistant Behavior Analyst | 1641 Topeka Cir, Sparks, NV 89434-8866 | 2020-01-19 |
| 1730748179 | Alejanddra Mayorga | Assistant Behavior Analyst | 10230 Deerfield Beach Ave Unit 202, Las Vegas, NV 89129-1080 | 2019-06-10 |
| 1255997896 | Tonishia Childress | Assistant Behavior Analyst | 9012 Embroidery Ave, Las Vegas, NV 89149-0422 | 2019-05-18 |
| 1801359773 | Global Holistic Health Care Services LLC | Assistant Behavior Analyst | 2116 Bachelor Ct, Las Vegas, NV 89128-7620 | 2019-04-08 |
| 1245706126 | Michael Chavez | Assistant Behavior Analyst | 2805 Fremont St, Las Vegas, NV 89104-2213 | 2018-10-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.