Provider Demographics
NPI:1407462971
Name:BEHAR, EMILYANN RABARA (MA, CAGS, LADC-P)
Entity Type:Individual
Prefix:MRS
First Name:EMILYANN
Middle Name:RABARA
Last Name:BEHAR
Suffix:
Gender:F
Credentials:MA, CAGS, LADC-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9606 TUSCOLA CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4602
Mailing Address - Country:US
Mailing Address - Phone:805-709-3540
Mailing Address - Fax:
Practice Address - Street 1:5510 S FORT APACHE RD STE 13
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-7700
Practice Address - Country:US
Practice Address - Phone:805-709-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00759-P101YA0400X
NVCI3194101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)