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EVERLASTING SENIOR CARE NPI 1902356603


NPI Information

NPI: 1902356603
Provider Name: EVERLASTING SENIOR CARE
Classification: Behavior Technician - 106S00000X
Entity Type: Organization
Address:
2117 CALIFORNIA ST
2109 CALIFORNIA STREET
CARSON CITY, NV
ZIP 89701
Phone: (775) 301-6299
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EVERLASTING SENIOR CARE is a behavior technician in Carson City, NV. The provider is the behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. EVERLASTING SENIOR CARE NPI is 1902356603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2117 CALIFORNIA ST
2109 CALIFORNIA STREET
CARSON CITY, NV
ZIP 89701-328
Phone: (775) 301-6299
Fax: (775) 301-6299

The provider's authorized official is Eloisa Calderon Ortega .
The authorized official title is Owner/manager and has the following contact phone number (775) 301-6299.

The enumeration date for this NPI number is 10/6/2016 and was last updated on 10/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106S00000XBehavior Technician8615-AGC-0NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18615-AGC-0MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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