Provider Demographics
NPI:1083071690
Name:STATE OF NV AGING AND DISABILITY SERVICES DIVISION - ATAP
Entity Type:Organization
Organization Name:STATE OF NV AGING AND DISABILITY SERVICES DIVISION - ATAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MISS
Authorized Official - First Name:RONNI
Authorized Official - Middle Name:
Authorized Official - Last Name:OKRASKI
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, BCBA, ABD
Authorized Official - Phone:775-687-0117
Mailing Address - Street 1:3416 GONI RD
Mailing Address - Street 2:SUITE D 132
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-8008
Mailing Address - Country:US
Mailing Address - Phone:775-687-0117
Mailing Address - Fax:775-687-0119
Practice Address - Street 1:3416 GONI RD
Practice Address - Street 2:SUITE D 132
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-8008
Practice Address - Country:US
Practice Address - Phone:775-687-0117
Practice Address - Fax:775-687-0119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management