Individual
VANESSA WILLMOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
75 PRINGLE WAY STE 300, RENO, NV 89502-8425
(775) 982-3960
(775) 982-3971
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-3900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0540
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609368257
—
NV
Enumeration date
05/30/2018
Last updated
04/19/2022
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