Provider Demographics
NPI:1508542226
Name:ROSALES, NORA V (BCBA)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:V
Last Name:ROSALES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:37821 WISTERIA TRL
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93552-4001
Mailing Address - Country:US
Mailing Address - Phone:661-435-1178
Mailing Address - Fax:
Practice Address - Street 1:626 W LANCASTER BLVD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3108
Practice Address - Country:US
Practice Address - Phone:661-480-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician