BRENDA JACKSON (NPI# 1538509526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538509526 |
| Entity Type | Individual |
| Full Name | BRENDA JACKSON |
| Practice Address |
5135 Camino Al Norte Suite 255 North Las Vegas NV 89031-2387 |
| Practice Telephone | 7024835949 |
| Practice Fax Number | 7028536717 |
| Mailing Telephone | 7024835949 |
| Mailing Fax Number | 7028536717 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1205225349 | Brenda Lee Jackson | Nurse Practitioner | 757 W Eisenhower Rd, Lansing, KS 66043-2215 | 2015-01-13 |
| 1467631556 | Brenda Sue Jackson | Case Manager/Care Coordinator | 2508 S.e. 20th, Bentonville, AR 72712 | 2007-10-25 |
| 1588179501 | Brenda Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2017-12-13 |
| 1083060610 | Brenda L.e. Jackson | Occupational Therapist | 601 W Leota St, North Platte, NE 69101-6525 | 2016-05-12 |
| 1578972600 | Brenda Rene Jackson | Counselor | 1555 E Flamingo Rd, Ste. # 158, Las Vegas, NV 89119-5258 | 2014-08-01 |
| 1215372644 | Brenda Lee Jackson | Registered Nurse | 530 Hornady Dr, Monroeville, AL 36460-8658 | 2013-04-29 |
| 1326273707 | Brenda Ann Jackson | Radiologic Technologist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2009-05-28 |
| 1336295286 | Brenda A L Jackson | Nurse Practitioner | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 | 2007-01-25 |
| 1922042951 | Brenda D Jackson | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2006-06-16 |
| Street Address |
5135 CAMINO AL NORTE SUITE 255 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89031-2387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528687530 | Restorative Behavioral Health LLC | Physical Medicine & Rehabilitation | 5135 Camino Al Norte, North Las Vegas, NV 89031-2387 | 2020-04-09 |
| 1710448618 | Beyond Blue Health Services | Community/Behavioral Health | 5135 Camino Al Norte, North Las Vegas, NV 89031-2387 | 2019-03-25 |
| 1700344181 | Operating In Love Behavioral Health Services | Community/Behavioral Health | 5135 Camino Al Norte, North Las Vegas, NV 89031-2387 | 2019-03-05 |
| 1467934091 | Mechele Ramunda Lavoll | Chore Provider | 5135 Camino Al Norte, North Las Vegas, NV 89031-2387 | 2018-08-30 |
| 1467955922 | Brent Morgan | Counselor | 5135 Camino Al Norte, 267, North Las Vegas, NV 89032 | 2018-03-12 |
| 1083138291 | Breaking The Cycle Health and Wellness LLC | Community/Behavioral Health | 5135 Camino Al Norte, North Las Vegas, NV 89031-2387 | 2017-07-29 |
| 1437683232 | Second Chance Resources LLC | Community/Behavioral Health | 5135 Camino Al Norte, Ste 255, North Las Vegas, NV 89031-2387 | 2017-04-18 |
| 1083158927 | James Ursua | Behavior Technician | 5135 Camino Al Norte, Suite 257, North Las Vegas, NV 89031-2387 | 2016-12-12 |
| 1518401462 | Brenda Ward | Rehabilitation Practitioner | 5135 Camino Al Norte, Suite 257, North Las Vegas, NV 89031-2387 | 2016-12-12 |
| 1023564440 | Annette Joseph | Behavioral Analyst | 5135 Camino Al Norte, 114, North Las Vegas, NV 89032 | 2016-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071039 | Dimuro Facilities Services | Pain Medicine | Dimuro Pain Management, 3970 W Ann Road Ste 100, N Las Vegas, NV 89031 | 2019-12-27 |
| 1225681323 | Jasmine Coleman | Home Health Aide | 1517 Santa Rosalia Dr., North Las Vegas, NV 89031 | 2019-07-18 |
| 1558924134 | Jamie Esprecion | Driver | 3007 Extravagant Ave, North Las Vegas, NV 89031 | 2019-04-18 |
| 1831652387 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 4461 North Decatur Blvd, Ste 110, N Las Vegas, NV 89031 | 2019-04-11 |
| 1265928550 | Geraldine Alford | Chore Provider | 5150 El Camino Norte Suite 150, Las Vegas, NV 89031 | 2018-07-10 |
| 1861999468 | Danielle Anderson | Counselor | 4528 West Craig Suite 150, Las Vegas, NV 89031 | 2018-04-10 |
| 1871094078 | Ethel Richardson | Chore Provider | 620 Manuel Edwardo Ave, N. Las Vegas, NV 89031 | 2018-02-22 |
| 1124547997 | Crystal Dorin Mcdowell | Counselor | 5920 Palmilla St Unit 5, North Las Vegas, NV 89031 | 2017-09-13 |
| 1699293308 | Mitzi Darnell Adeyemi | Counselor | 2205 Mountain Sunset Ave, North Las Vegas, NV 89031 | 2017-09-01 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| Find all providers in zip 89031 | ||||
| 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 | 89031 |
Please comment or provide details below to improve the information on BRENDA JACKSON.
| 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.