Provider Demographics
NPI:1679923221
Name:SCHIENLE, SARA LORRAINE (BCBA, LBA(NV))
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:LORRAINE
Last Name:SCHIENLE
Suffix:
Gender:F
Credentials:BCBA, LBA(NV)
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:LORRAINE
Other - Last Name:STRATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2450 SENECA DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-9111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2450 SENECA DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506
Practice Address - Country:US
Practice Address - Phone:209-505-0634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0082103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst