Provider Demographics
NPI:1154963858
Name:SALMAN, FADIA MARAM (MA)
Entity type:Individual
Prefix:
First Name:FADIA
Middle Name:MARAM
Last Name:SALMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3156 DEL TERRA AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-0491
Mailing Address - Country:US
Mailing Address - Phone:702-561-5612
Mailing Address - Fax:
Practice Address - Street 1:9089 S PECOS RD STE 3400
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7184
Practice Address - Country:US
Practice Address - Phone:702-524-0441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT-19-102186106S00000X
NV1-23-70479103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician