Basic Information
Provider Information
NPI: 1508275876
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARONSON
FirstName: DANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.S., BCBA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SILVERMAN
OtherFirstName: DANA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 19019 VENTURA BLVD
Address2: SUITE 300
City: TARZANA
State: CA
PostalCode: 913563253
CountryCode: US
TelephoneNumber: 8183452345
FaxNumber: 8187588015
Practice Location
Address1: 74 N PECOS RD
Address2: SUITE C
City: HENDERSON
State: NV
PostalCode: 890747343
CountryCode: US
TelephoneNumber: 7027784500
FaxNumber: 7027783500
Other Information
ProviderEnumerationDate: 08/12/2014
LastUpdateDate: 02/23/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103K00000X  Y Behavioral Health & Social Service ProvidersBehavioral Analyst 

No ID Information.


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