Jenna Mandilk-Longhurst, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-263725 Issued in NU

Practice address

3950 Las Vegas Blvd N # A2
Las Vegas, NV 89115-0598

Phone

(702) 547-6971

Fax

(702) 547-6948

NPI assigned

Mar 15, 2023

Last updated

Mar 23, 2026By the provider in NPPES

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

Practice roles

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

• Behavior Change Institute, LLC.

  • Behavior Analyst
  • Alamogordo, NM
  • NPI 1730517889

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1164123279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 185",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205006",
            "telephone_number": "702-547-6971",
            "fax_number": "702-547-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 LAS VEGAS BLVD N # A2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150598",
            "telephone_number": "702-547-6971",
            "fax_number": "702-547-6948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881014199",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 E. Broadway Blvd. Ste 100 #1206",
            "address_purpose": "LOCATION",
            "city": "Tuscon",
            "state": "AZ",
            "postal_code": "857165344",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 E Sheldon St # 1119",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863013114",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Hudson St",
            "address_purpose": "LOCATION",
            "city": "Silver City",
            "state": "NM",
            "postal_code": "880615435",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874018905",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 W Aztec Ave",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873016666",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Las Cruces Ave Ste 1501",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880013488",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 W Riordan Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860010810",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1408 8th St",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883105115",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Gossett Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Aztec",
            "state": "NM",
            "postal_code": "874104529",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 W Highway 89A # 1047",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863365344",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 S Alma School Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852864400",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21168 E Ocotillo Rd # 1078",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851428175",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882102168",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Canyon St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882205809",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 Americas Pkwy NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871108172",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E College Blvd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015158",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 Marquez Pl Unit 106B",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875051833",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 N Kansas St Ste 700",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799011444",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "886-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDILK-LONGHURST",
        "first_name": "JENNA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-23-263725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frhiwat Mandefro
• Elissa R Mandel, MS CCC-SLP, MS SPED,
• Guiseppe Mandell, PERR RECOVERY SUPPOR
• Havi Brysk Mandell, PH.D., MSW, LCSW
• Karina Mandello, B.S.
• Mandip S Arora MD
• Irma Mandujano-Torres, LMSW
• Yvette Michel-Le Mandujano
• Monica Maneiro
• Sean Manesh

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.