Provider Demographics
NPI:1467120501
Name:LEWON, AINSLEY B (PHD, BCBA-D, LBA-NV)
Entity Type:Individual
Prefix:
First Name:AINSLEY
Middle Name:B
Last Name:LEWON
Suffix:
Gender:F
Credentials:PHD, BCBA-D, LBA-NV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 VASSAR ST STE 3
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3224
Mailing Address - Country:US
Mailing Address - Phone:775-448-6533
Mailing Address - Fax:
Practice Address - Street 1:2440 VASSAR ST STE 3
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3224
Practice Address - Country:US
Practice Address - Phone:775-448-6533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-15-18576OtherBEHAVIOR ANALYST CERTIFICATION BOARD
NVLBA0177OtherSTATE OF NEVADA BOARD OF APPLIED BEHAVIOR ANALYSIS