Samantha Joy Jasa

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0097 Issued in NV

Practice address

5550 W Flamingo Rd
Las Vegas, NV 89103-2334

Phone

(702) 877-2520

NPI assigned

Aug 1, 2017

Sex

Female

Sole proprietor

No

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.

• Trifecta Team Jasa PLLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1861181638
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1063936003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 ALAVA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891384567",
            "telephone_number": "702-688-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 W FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032334",
            "telephone_number": "702-877-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASA",
        "first_name": "SAMANTHA",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine Jarvis
• Jillian Jarvis, BCBS, LBA
• Kenneth Jarvis, DPM
• Robyn L. Jarvis, LPTA
• Sierra Ann Ramirez Jarvis, PHD
• Camilya Reshuntae Jasames
• Donte Ray Jasames
• Lynne Larene Jasames, MBA
• Ryan Jaseckas
• Melissa Jasinto, MD

• 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 Aug 1, 2017; 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.