Individual provider Active NPI

Jasmine Unik Jackson

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1134949555
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
7251 W Lake Mead Blvd Ste 300
Las Vegas, NV 89128-8380
Phone
(702) 387-2300
NPI assigned
Oct 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

7251 W Lake Mead Blvd Ste 300
Las Vegas, NV 89128-8380

Mailing address

1237 W Alexander Rd Apt 171
N Las Vegas, NV 89032-9092
Phone (702) 826-7826

Other practice location 1

1237 W Alexander Rd Apt 171
N Las Vegas, NV 89032-9092
Phone (702) 826-7826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1134949555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 W ALEXANDER RD APT 171",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890329092",
            "telephone_number": "702-826-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 W LAKE MEAD BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288380",
            "telephone_number": "702-387-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1237 W Alexander Rd Apt 171",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890329092",
            "country_code": "US",
            "telephone_number": "702-826-7826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JASMINE",
        "middle_name": "UNIK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.