Jelly Mae McCauley, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT 15-08788 Issued in NV

Practice address

429 Don Pedro Cir
North Las Vegas, NV 89031-2835

Phone

(702) 768-3827

NPI assigned

Aug 25, 2016

Last updated

Aug 25, 2016By the provider in NPPES

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

Other names 1

• Ms. Jelly Mae Fami Salvacion Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Momentum Hub, LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1902757412
  NPD

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1184170680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 DON PEDRO CIR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312835",
            "telephone_number": "702-768-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 DON PEDRO CIR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312835",
            "telephone_number": "702-768-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "JELLY MAE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "RBT 15-08788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JELLY MAE",
            "last_name": "SALVACION",
            "middle_name": "FAMI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marlynnda McCall
• Evelyn McCarroll, RN, IBCLC
• Teresa McCarter, BA
• Martha Santini McCartney
• Mariah McCarty
• Laurance McCauley
• Jarre McClain
• Ray McClain
• Ni Jaia Marie McClaren
• Michael Taylor McClellan, PA

• Behavior Analyst in North Las Vegas, NV
• Providers in North 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 25, 2016; 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.