Provider Demographics
NPI:1205148475
Name:SANKOVICH, LENA (PHD, BCBA)
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:
Last Name:SANKOVICH
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 777447
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89077-7447
Mailing Address - Country:US
Mailing Address - Phone:833-759-8720
Mailing Address - Fax:833-973-4752
Practice Address - Street 1:3530 VOLUNTEER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89044-1857
Practice Address - Country:US
Practice Address - Phone:833-759-8720
Practice Address - Fax:833-483-5615
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-10-6747103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst