Healthcare Provider Details

I. General information

NPI: 1336501469
Provider Name (Legal Business Name): JOHANNE ZAPORTEZA-ZIPSER BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOHANNE ZAPORTEZA BCBA

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date: 09/11/2024
Reactivation Date: 09/18/2024

III. Provider practice location address

7375 PRAIRIE FALCON RD STE 150
LAS VEGAS NV
89128-0810
US

IV. Provider business mailing address

1901 IVY POINT LN
LAS VEGAS NV
89134-5902
US

V. Phone/Fax

Practice location:
  • Phone: 702-329-0125
  • Fax: 725-269-1215
Mailing address:
  • Phone: 562-481-4585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-30117
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: