Active NPI
Jaina Alyss-Mae Rollins, RBT
- Behavior Technician
- Bloomington, IL
National Provider Identifier
1295573376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-360598
- Practice address
- 202 Saint Joseph Dr
Bloomington, IL 61701-3638 - Phone
- (309) 686-1177
- NPI assigned
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-360598 | IL | Primary |
Addresses
Primary practice location
202 Saint Joseph Dr
Bloomington, IL 61701-3638
Mailing address
700 N Adelaide St Apt 117
Normal, IL 61761-1554
Phone (217) 414-1475
Other practice location 1
5220 6th Street Frontage Rd E Ste 1700
Springfield, IL 62703-5771
Phone (217) 525-8332
Other names 1
- Jaina Alyssa-Mae Brandon
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-360598 | IL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals - Ucp | Behavior Technician | Past | Accepting new patients |
| Easter Seals - Ucp | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1295573376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N ADELAIDE ST APT 117",
"city": "NORMAL",
"state": "IL",
"postal_code": "617611554",
"telephone_number": "217-414-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 SAINT JOSEPH DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013638",
"telephone_number": "309-686-1177"
}
],
"practiceLocations": [
{
"address_1": "5220 6th Street Frontage Rd E Ste 1700",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627035771",
"country_code": "US",
"telephone_number": "217-525-8332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLLINS",
"first_name": "JAINA",
"middle_name": "ALYSS-MAE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-15",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-24-360598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAINA",
"last_name": "BRANDON",
"middle_name": "ALYSSA-MAE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.