Individual provider · Type 1 NPI

Lara Mae Nisperos

Assistant Behavior Analyst · Roseville, CA

NPI number 1194293514 Active

Practice location

1478 Stone Point Dr Ste 200
Roseville, CA 95661-2869

Call (408) 204-5502 Map

Mailing address

1478 Stone Point Dr Ste 100
Roseville, CA 95661-2882

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000XNone listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1194293514

Lara Mae Nisperos's National Provider Identifier is 1194293514, issued on Nov 2, 2018. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Roseville, CA. The record was last updated on Aug 18, 2026.