Provider Demographics
NPI:1457175382
Name:RALLA-LANYI, LILLIANA (RBT)
Entity type:Individual
Prefix:
First Name:LILLIANA
Middle Name:
Last Name:RALLA-LANYI
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 1:2440 VASSAR ST STE 3
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3224
Mailing Address - Country:US
Mailing Address - Phone:775-448-6533
Mailing Address - Fax:
Practice Address - Street 1:2440 VASSAR ST STE 3
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3224
Practice Address - Country:US
Practice Address - Phone:775-448-6533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT4726106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVRBT4726OtherSTATE OF NEVADA BOARD OF APPLIED BEHAVIOR ANALYSIS
RBT-24-378311OtherBEHAVIOR ANALYST CERTIFICATION BOARD