ROGUE AUTISM REBELS (NPI# 1679128565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679128565 |
| Entity Type | Organization |
| Organization Name | ROGUE AUTISM REBELS |
| Practice Address |
1710 Central Ave Se Albuquerque NM 87106-4412 |
| Mailing Address |
7600 S Rainbow Blvd Apt 2145 Las Vegas NV 89139-0500 |
| Practice Telephone | 5055854135 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | AMBER SUAREZ (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7023284634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7600 S Rainbow Blvd Apt 2145, Las Vegas, NV 891390500 | 7023284634 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Rogue Autism Rebels | 2636 S. King St., Denver, CO 80219 |
| Street Address |
1710 CENTRAL AVE SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114548948 | Camino Behavioral Health Services | Behavioral Analyst | 308 Arno St Ne Apt A, Albuquerque, NM 87102-3509 | 2020-05-04 |
| 1083240733 | Behaviors R Us LLC. | Behavioral Analyst | 2105 Vista Oeste Nw Ste E2025, Albuquerque, NM 87120-3693 | 2020-03-13 |
| 1679116305 | Kaitlynn Kaiser | Behavioral Analyst | 2659 Pan American Fwy Ne, Albuquerque, NM 87107-1632 | 2019-10-25 |
| 1255987061 | Dontae Anthony Watson | Behavioral Analyst | 4125 Lead Ave Se Apt 104, Albuquerque, NM 87108-2655 | 2019-08-16 |
| 1154983070 | Kristin Marie Brown | Behavioral Analyst | 2901 Rhode Island St Ne, Albuquerque, NM 87110-3705 | 2019-07-01 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1538724356 | Anna E Ball | Behavioral Analyst | 6100 Seagull St Ne Ste B200, Albuquerque, NM 87109-2500 | 2019-05-07 |
| 1932661832 | Evelyn Cashara | Behavioral Analyst | 312 Laguna Seca Ln Nw, Albuquerque, NM 87104-1772 | 2019-04-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on ROGUE AUTISM REBELS.
| 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.