Jacqueline Lazootin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0244 Issued in NV

Practice address

1416 Calle Montery St
Las Vegas, NV 89117-6690

Phone

(917) 716-1169

NPI assigned

Aug 30, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victoria Manon Behavior Solutions LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1649046020
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1033767116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CALLE MONTERY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176690",
            "telephone_number": "917-716-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 CALLE MONTERY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176690",
            "telephone_number": "917-716-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZOOTIN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Lazo
• Eric Ulanday Lazo, M.D.
• Idalmis Lazo
• Nestor Lazo, LMT
• Victoria Marie Lazo, RN
• Lazos Behavioral Center Inc
• Lazos Behavioral Health Center
• LB Regency Plaza LLC
• LB Therapies LLC
• Lbo LLC

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.