Provider Demographics
NPI:1962943464
Name:NABERS, ROSE
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:NABERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8954 CATFISH STREAM AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-7203
Mailing Address - Country:US
Mailing Address - Phone:702-416-7442
Mailing Address - Fax:
Practice Address - Street 1:8954 CATFISH STREAM AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-7203
Practice Address - Country:US
Practice Address - Phone:702-416-7442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst