Provider Demographics
NPI:1073270443
Name:ALOHA BEHAVIORAL CENTER
Entity Type:Organization
Organization Name:ALOHA BEHAVIORAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIY
Authorized Official - Suffix:
Authorized Official - Credentials:LBA, BCBA
Authorized Official - Phone:702-848-6070
Mailing Address - Street 1:7995 BLUE DIAMOND RD STE 102 #304
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-6565
Mailing Address - Country:US
Mailing Address - Phone:702-848-6070
Mailing Address - Fax:702-723-2118
Practice Address - Street 1:7995 BLUE DIAMOND RD STE 102 #304
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-6565
Practice Address - Country:US
Practice Address - Phone:702-848-6070
Practice Address - Fax:702-723-2118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-20
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1-19-36168OtherBEHAVIOR ANALYST CERTIFICATION BOARD