Individual
PENELOPE HYDERKHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3650 N RANCHO DR STE 108, LAS VEGAS, NV 89130-3151
(702) 990-0326
Mailing address
3650 N RANCHO DR STE 108, LAS VEGAS, NV 89130-3151
(702) 990-0326
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0821
NV
103K00000X
Behavior Analyst
RBT-16-22232
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LBA0821
NV ABA BOARD
NV
Enumeration date
08/15/2016
Last updated
10/10/2023
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