MEDICARE: BRIANA HECTOR BCBA, LBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-19-35989	CA
2	103K00000X	Behavior Analyst	1-19-35989	NV

General Provider Information

NPI Number	:	1720641947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA HECTOR BCBA, LBA

Provider Business Mailing Address
First Line	:	2835 SAINT ROSE PKWY STE 120
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4847
Country	:	US
Telephone Number	:	702-908-9323
Fax Number	:	702-476-4211

Provider Business Practice Location Address
First Line	:	2835 SAINT ROSE PKWY STE 120
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4847
Country	:	US
Telephone Number	:	702-908-9323
Fax Number	:	702-476-4211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2019
Last Update Date	:	11/27/2025

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