Provider Demographics
NPI:1245745314
Name:DOWNEY, ELIZABETH ROSE (RBT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ROSE
Last Name:DOWNEY
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:PO BOX 733
Mailing Address - Street 2:
Mailing Address - City:WELLS
Mailing Address - State:NV
Mailing Address - Zip Code:89835-0733
Mailing Address - Country:US
Mailing Address - Phone:775-340-9151
Mailing Address - Fax:
Practice Address - Street 1:807 HOGAN ST.
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:NV
Practice Address - Zip Code:89835
Practice Address - Country:US
Practice Address - Phone:775-340-9151
Practice Address - Fax:775-340-9151
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVBACB407160106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician