Healthcare Provider Details

I. General information

NPI: 1790495703
Provider Name (Legal Business Name): ANNA LEFF BCABA LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10345 PROFESSIONAL CIR STE 125A
RENO NV
89521-3100
US

IV. Provider business mailing address

1080 RIVERBERRY DR
RENO NV
89509-7118
US

V. Phone/Fax

Practice location:
  • Phone: 775-332-8332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: