Individual
KATHLEEN LOIS WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
401 W 2ND ST, RENO, NV 89503-5345
(775) 391-0749
Mailing address
1664 N VIRGINIA ST, RENO, NV 89503-0705
(775) 391-0749
(775) 432-0324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0765
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LBC0765
LICENSED BEHAVIOR ANALYST
NV
Enumeration date
03/26/2018
Last updated
03/31/2023
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