WILLIE PEARL JACKSON


Address: 5304 Roseland Ave, Las Vegas, NV 89130-2635
Phone: 7026305009

WILLIE PEARL JACKSON (NPI# 1841571478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841571478
Entity Type Individual
Full Name WILLIE PEARL JACKSON
Practice Address 5304 Roseland Ave
Las Vegas
NV 89130-2635
Practice Telephone 7026305009
Practice Fax Number 7026319821
Mailing Telephone 7026305009
Mailing Fax Number 7026319821
Enumeration Date 2011-09-09
Last Update Date 2019-10-18
NPI Deactivation Date 10/10/2019
NPI Reactivation Date 2019-10-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst NV Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1841571478 05

Other Providers WILLIE JACKSON

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1447349436 Willie D Jackson Counselor 11301 Wilshire Blvd, Bldg 206 Room 24, Los Angeles, CA 90073-1003 2006-10-11
1043312960 Willie Mae Jackson Dietetic Technician, Registered 820 S Damen Ave, Chicago, IL 60612-3728 2006-09-01

Office Location

Street Address 5304 ROSELAND AVE
City LAS VEGAS
State NV
Zip Code 89130-2635

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1699239095 Jennifer Lee Kearns Rehabilitation Practitioner 3680 N Racho Drive, Las Vegas, NV 89130 2019-01-30
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1821696287 Marilyn Hutcherson Behavioral Analyst 4185 Vegas Valley Dr Ste B, Las Vegas, NV 89121-2522 2020-10-16
1952909608 Lissette Marie Saenz Behavioral Analyst 9700 W Sunset Rd Apt 2009, Las Vegas, NV 89148-4799 2020-10-14
1134727910 Songbird Health Nv LLC Behavioral Analyst 5940 S Rainbow Blvd Ste 400, Las Vegas, NV 89118-2507 2020-10-13
1548867955 Nv Mc Sprout 1 LLC Behavioral Analyst 8465 W Sahara Ave Ste 111, Las Vegas, NV 89117-8902 2020-10-08
1740896877 Global Behavior Analyst Behavioral Analyst 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 2020-09-23
1215544317 Specialized Care Services LLC Behavioral Analyst 5615 Cameron St Ste 9, Las Vegas, NV 89118-2233 2020-09-23
1629681291 A Wright Mind, LLC Behavioral Analyst 1810 E Sahara Ave # 113, Las Vegas, NV 89104-3707 2020-08-25
1861000184 Rhonda Renee Murphy Behavioral Analyst 4664 Sand Creek Ave Apt A, Las Vegas, NV 89103-1535 2020-07-22
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Competitor

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City LAS VEGAS
Zip Code 89130

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Dataset Information

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.

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