Healthcare Provider Details

I. General information

NPI: 1720951726
Provider Name (Legal Business Name): ARIANA VAFAI JANBAHAN RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 N RANCHO DR STE 107
LAS VEGAS NV
89130-3111
US

IV. Provider business mailing address

7365 PRAIRIE FALCON RD STE 150
LAS VEGAS NV
89128-0808
US

V. Phone/Fax

Practice location:
  • Phone: 702-577-2606
  • Fax: 702-710-6023
Mailing address:
  • Phone: 702-766-9840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-281282
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT3560
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: