Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-19-40263 | NV |
N | 106S00000X | Behavior Technician | RBT-16-17627 | NV |
NPI | 1003313347 |
---|---|
Provider Name | Vanessa Haroan |
First Address | Henderson, NV 89015-5409 |
Second Address | Henderson, NV 89015-5409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2018 |
Last Update Date | 07/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1-19-40263 | BEHAVIOR ANALYST CERTIFICATION BOARD (01) | |
LBA0312 | NEVADA APPLIED BEHAVIOR ANALYST BOARD (01) | NV |