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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1841571478 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013143395 | Willie Lee Jackson Jr. | Counselor | 157 Santa Barbara Plz, Los Angeles, CA 90008-2508 | 2009-06-01 |
| 1073754065 | Willie Mae Jackson | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2009-03-20 |
| 1477687598 | Willie Jackson | Social Worker | 660 Park St, Jacksonville, FL 32204-2933 | 2007-03-14 |
| 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 |
| Street Address |
5304 ROSELAND AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavioral Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavioral Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavioral Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavioral Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| 1376015685 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 | 2018-12-27 |
| Find all providers in zip 89130 | ||||
| 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 |
|---|---|---|---|---|
| 1740889963 | Acacia Ravon Mccrea | Behavioral Analyst | 7351 W Charleston Blvd Unit 102, Las Vegas, NV 89117-1502 | 2020-10-19 |
| 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 |
| 1801413539 | Mattie Simpson | Behavioral Analyst | 2500 W Washington Ave Bldg B, Las Vegas, NV 89106-3731 | 2020-06-29 |
| Find all providers in LAS VEGAS | ||||
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| 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.