Active NPI
Rochelle M. Jackson
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1407440696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 601 S 10TH St
Las Vegas, NV 89101-7027 - Phone
- (702) 630-5493
- NPI assigned
- Feb 27, 2021
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
601 S 10TH St
Las Vegas, NV 89101-7027
Mailing address
2921 New Journey Way
N Las Vegas, NV 89031-0549
Phone (702) 630-5493
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | phj@pj;aw.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614384000000",
"number": "1407440696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 NEW JOURNEY WAY",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890310549",
"telephone_number": "702-630-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S 10TH ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891017027",
"telephone_number": "702-630-5493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ROCHELLE",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-27",
"last_updated": "2021-02-27",
"certification_date": "2021-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "phj@pj;aw.org",
"affiliation": "N",
"address_1": "601 S 10th St",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891017027",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.