Provider Demographics
NPI:1609613330
Name:CHICAS-PADILLA, ALBANA (RBT)
Entity type:Individual
Prefix:
First Name:ALBANA
Middle Name:
Last Name:CHICAS-PADILLA
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 1:1920 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3635
Mailing Address - Country:US
Mailing Address - Phone:702-608-5763
Mailing Address - Fax:702-852-0549
Practice Address - Street 1:1920 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3635
Practice Address - Country:US
Practice Address - Phone:702-608-5763
Practice Address - Fax:702-852-0549
Is Sole Proprietor?:No
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT4355106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician