Provider Demographics
NPI:1225595747
Name:BORQUEZ, NATALIA (RBT)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:BORQUEZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8064 W SAHARA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1998
Mailing Address - Country:US
Mailing Address - Phone:702-829-8929
Mailing Address - Fax:702-829-8948
Practice Address - Street 1:8064 W SAHARA AVE STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1998
Practice Address - Country:US
Practice Address - Phone:702-829-8929
Practice Address - Fax:702-829-8948
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
NV103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician