Provider Demographics
NPI:1821644477
Name:HUANTE, SKY LIZETH (RBT)
Entity Type:Individual
Prefix:
First Name:SKY
Middle Name:LIZETH
Last Name:HUANTE
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 1:505 BUOY ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-3001
Mailing Address - Country:US
Mailing Address - Phone:702-209-5271
Mailing Address - Fax:
Practice Address - Street 1:505 BUOY ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-3001
Practice Address - Country:US
Practice Address - Phone:702-209-5271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2019-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT-19-105909106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician