Active NPI
Jochelle Tolentino Pallera
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1306573167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB753593
- Practice address
- 630 S Rancho Dr
Las Vegas, NV 89106-4873 - Phone
- (702) 564-2453
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | BACB753593 | NV | Primary |
Addresses
Primary practice location
630 S Rancho Dr
Las Vegas, NV 89106-4873
Mailing address
630 S Rancho Dr
Las Vegas, NV 89106-4873
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 |
|---|---|---|---|
| BACB753593 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1306573167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 S RANCHO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S RANCHO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064873",
"telephone_number": "702-564-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLERA",
"first_name": "JOCHELLE",
"middle_name": "TOLENTINO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "BACB753593",
"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 Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.