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
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X |   |   | Y |   | Behavioral Health & Social Service Providers | Behavioral Analyst |   |
No ID Information.