Active NPI
Jourdinae Shaw
- Behavior Technician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT3374
- Practice address
- 5940 S Rainbow Blvd
Las Vegas, NV 89118-2506 - Phone
- (925) 264-1902
- NPI assigned
- Mar 21, 2018
- Last updated
- Mar 13, 2025
- 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 | RBT3374 | NV | Primary |
Addresses
Primary practice location
5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Mailing address
7260 W Azure Dr Ste 140-104
Las Vegas, NV 89130-7999
Phone (702) 848-2980
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 |
|---|---|---|---|
| RBT3374 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brilliant Behavior LLC | Behavior Technician | Current | Accepting new patients |
Locations
7260 W Azure Dr
Ste 140104
Las Vegas, NV 89130
7570 Norman Rockwell Ln
Ste 250
Las Vegas, NV 89143
Phone (702) 848-2980
7571 Tule Springs Rd
Las Vegas, NV 89131
Phone (702) 848-2980
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1356845630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7260 W AZURE DR STE 140-104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891307999",
"telephone_number": "702-848-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182506",
"telephone_number": "925-264-1902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "JOURDINAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT3374",
"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 Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.