Provider Demographics
NPI:1659832343
Name:BADIEI-EMRAN, NIKA (BCBA)
Entity Type:Individual
Prefix:
First Name:NIKA
Middle Name:
Last Name:BADIEI-EMRAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 COOPER BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-9012
Mailing Address - Country:US
Mailing Address - Phone:919-737-5305
Mailing Address - Fax:
Practice Address - Street 1:2191 COOPER BRANCH RD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-9012
Practice Address - Country:US
Practice Address - Phone:919-737-5305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst