Healthcare Provider Details

I. General information

NPI: 1477102697
Provider Name (Legal Business Name): APPLIED BEHAVIOR SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2019
Last Update Date: 02/11/2020
Certification Date: 02/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 COLUMBIA HILL RD
RENO NV
89508-7339
US

IV. Provider business mailing address

4050 GARDELLA AVE APT 721
RENO NV
89512-1041
US

V. Phone/Fax

Practice location:
  • Phone: 775-313-6375
  • Fax:
Mailing address:
  • Phone: 775-313-6375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: THOURAYA AL-NASSER
Title or Position: CLINICAL DIRECTOR
Credential: B.C.B.A., LBA, PHD.
Phone: 775-313-6375