Provider Demographics
NPI:1184082703
Name:OKRASKI, RONNI (BCBA)
Entity type:Individual
Prefix:
First Name:RONNI
Middle Name:
Last Name:OKRASKI
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 1:3416 GONI RD
Mailing Address - Street 2:BUILDING D, SUITE 132
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-8008
Mailing Address - Country:US
Mailing Address - Phone:775-687-0117
Mailing Address - Fax:775-687-0119
Practice Address - Street 1:3416 GONI RD
Practice Address - Street 2:BUILDING D, SUITE 132
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-8008
Practice Address - Country:US
Practice Address - Phone:775-687-0117
Practice Address - Fax:775-687-0119
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0071103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst