Provider Demographics
NPI:1538790969
Name:KINEL, PAULENA EWA (BCBA)
Entity type:Individual
Prefix:
First Name:PAULENA
Middle Name:EWA
Last Name:KINEL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:PAULENA
Other - Middle Name:EWA
Other - Last Name:KINEL-KOBRIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA
Mailing Address - Street 1:8055 VILLA CANO ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-1655
Mailing Address - Country:US
Mailing Address - Phone:702-824-4067
Mailing Address - Fax:
Practice Address - Street 1:8055 VILLA CANO ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-1655
Practice Address - Country:US
Practice Address - Phone:702-824-4067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
NJ1-25-80623103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician