Provider Demographics
NPI:1528863123
Name:BAEZ LABRADA, KARLA THALIA THALIA (RBT)
Entity type:Individual
Prefix:
First Name:KARLA THALIA
Middle Name:THALIA
Last Name:BAEZ LABRADA
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 1:7880 W MAULE AVE UNIT 1070
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-5382
Mailing Address - Country:US
Mailing Address - Phone:725-254-8037
Mailing Address - Fax:
Practice Address - Street 1:7880 W MAULE AVE UNIT 1070
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-5382
Practice Address - Country:US
Practice Address - Phone:725-254-8037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV106S00000X
NVRBT-25-412471106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician