Provider Demographics
NPI:1952700577
Name:BAGHJAJIAN, ARLENE (BCBA)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:BAGHJAJIAN
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 1:10424 OAK TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1534
Mailing Address - Country:US
Mailing Address - Phone:818-742-8887
Mailing Address - Fax:800-908-4464
Practice Address - Street 1:1350 E FLAMINGO RD STE 13B-3263
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5263
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-14-16775103K00000X
1-14-16775103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst