Healthcare Provider Details

I. General information

NPI: 1730831991
Provider Name (Legal Business Name): RITE OF PASSAGE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6160 PLUMAS ST STE 100
RENO NV
89519-6057
US

IV. Provider business mailing address

2560 BUSINESS PKWY STE A
MINDEN NV
89423-8961
US

V. Phone/Fax

Practice location:
  • Phone: 775-418-1200
  • Fax:
Mailing address:
  • Phone: 480-987-2053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARANDA FIGULI
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 480-987-2080