JACKIE JOHNSON (NPI# 1740692318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740692318 |
| Entity Type | Individual |
| Full Name | JACKIE JOHNSON |
| Practice Address |
2605 Rainbow Glow St North Las Vegas NV 89030-3709 |
| Mailing Address |
3050 N Jones Blvd Apt2101 Las Vegas NV 89108-6551 |
| Practice Telephone | 7026305009 |
| Practice Fax Number | 7026319821 |
| Mailing Telephone | 7025610432 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871130112 | Jackie Glen Johnson | Case Management | 434 Ashlawn Dr, Midlothian, TX 76065-5612 | 2019-12-05 |
| 1770745457 | Jackie Eugene Johnson Sr. | Counselor | 1020 Sw Taylor St Ste 650, Portland, OR 97205-2506 | 2008-06-25 |
| 1982185021 | Jackie Johnson | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2018-08-27 |
| 1982114344 | Jackie Jerome Johnson Sr. | Counselor | 1715 26th St, Lubbock, TX 79411-1524 | 2017-10-11 |
| 1861940108 | Jackie Johnson | Massage Therapist | 12923 Nw Cornell Rd Ste 201, Portland, OR 97229-5834 | 2016-09-15 |
| 1407166119 | Jackie Johnson | Student in an Organized Health Care Education/Training Program | 111 South St., Somerville, MA 02143 | 2010-10-15 |
| 1740516251 | Jackie Ann Johnson | Licensed Practical Nurse | 627 Smithview Dr, Maryville, TN 37803-6100 | 2009-10-19 |
| 1679707541 | Jackie H Johnson Jr. | Ophthalmology | 216 Corder Rd, Warner Robins, GA 31088 | 2009-05-07 |
| 1053320218 | Jackie Ray Johnson | Nurse Anesthetist, Certified Registered | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2006-08-05 |
| Street Address |
2605 RAINBOW GLOW ST |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033436787 | Elevate Life | Counselor | 2605 Rainbow Glow St, North Las Vegas, NV 89030-3709 | 2010-04-20 |
| 1578995916 | Elsa Gomez De Castro | Rehabilitation Practitioner | 2605 Rainbow Glow St, North Las Vegas, NV 89030-3709 | 2013-08-08 |
| 1598107930 | Sheila Alston | Rehabilitation Practitioner | 2605 Rainbow Glow St, North Las Vegas, NV 89030-3709 | 2013-07-26 |
| 1568725935 | Elevate Life Family Services, LLC | Behavioral Analyst | 2605 Rainbow Glow St, North Las Vegas, NV 89030-3709 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062200 | Avon Butler | Behavioral Analyst | 5135 Camino Al Norte Ste 112, North Las Vegas, NV 89031-2390 | 2020-04-21 |
| 1922638485 | James Y Price Price Iv | Behavioral Analyst | 6321 Eagle Pass Ct, North Las Vegas, NV 89084-2005 | 2020-01-23 |
| 1134769516 | Equality Wellness Center LLC | Behavioral Analyst | 2751 Bridleton Ave, North Las Vegas, NV 89081-6581 | 2020-01-13 |
| 1861038648 | Claudia Reyes Ventura | Behavioral Analyst | 1018 Indian Hollow Ave, North Las Vegas, NV 89031-1447 | 2019-11-26 |
| 1760049340 | Project Mind | Behavioral Analyst | 3850 W Ann Rd Ste 110, North Las Vegas, NV 89031-4407 | 2019-05-20 |
| 1942771647 | Cassandra Emily Mermini | Behavioral Analyst | 5575 Simmons St Ste 1-491, North Las Vegas, NV 89031-9009 | 2018-12-07 |
| 1902374994 | Raenaa D Jojola | Behavioral Analyst | 4621 Sophia Way, North Las Vegas, NV 89032-0314 | 2018-11-07 |
| 1558849067 | Rhiannon Sierra Brush | Behavioral Analyst | 3550 W Cheyenne Ave Ste 110, North Las Vegas, NV 89032-8252 | 2018-08-06 |
| 1871071696 | Caroline Marie Haverkamp | Behavioral Analyst | 2708 W San Miguel Ave, North Las Vegas, NV 89032-3026 | 2018-08-02 |
| 1497248561 | Javonte Devon Hawthorne | Behavioral Analyst | 321 Gemstone Hill Ave, North Las Vegas, NV 89031-6862 | 2018-06-12 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on JACKIE JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.