Provider Demographics
NPI:1336501469
Name:ZAPORTEZA-ZIPSER, JOHANNE (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:JOHANNE
Middle Name:
Last Name:ZAPORTEZA-ZIPSER
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:JOHANNE
Other - Middle Name:
Other - Last Name:ZAPORTEZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:1901 IVY POINT LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-5902
Mailing Address - Country:US
Mailing Address - Phone:562-481-4585
Mailing Address - Fax:
Practice Address - Street 1:7375 PRAIRIE FALCON RD STE 150
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0810
Practice Address - Country:US
Practice Address - Phone:702-329-0125
Practice Address - Fax:725-269-1215
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2025-04-29
Deactivation Date:2024-09-11
Deactivation Code:
Reactivation Date:2024-09-18
Provider Licenses
StateLicense IDTaxonomies
103K00000X
CA1-18-30117103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst