Provider Demographics
NPI:1245540251
Name:SPECTOR, AARON MICHAEL
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:MICHAEL
Last Name:SPECTOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 RISING STAR DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-0358
Mailing Address - Country:US
Mailing Address - Phone:702-528-4694
Mailing Address - Fax:
Practice Address - Street 1:817 RISING STAR DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-0358
Practice Address - Country:US
Practice Address - Phone:702-528-4694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-12
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst