Jaylene Nisihura

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6390 W Cheyenne Ave
Las Vegas, NV 89108-6008

Phone

(702) 763-5311

NPI assigned

Jan 21, 2025

Last updated

Jan 21, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Glo Therapy ABA, LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1871383620

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1437961109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 CRIMSON TIDE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310447",
            "telephone_number": "626-295-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891086008",
            "telephone_number": "702-763-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISIHURA",
        "first_name": "JAYLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lianne Shizue Nishida-Costello, CHW
• Brian Kenji Nishiguchi, M.D.
• Ryan Nishihara, M.D.
• Alicia Ayako Nishimura
• Steven Keita Nishiyama, D.O., PH.D.
• Grant Niskanen, MD
• Kelli Nissen
• Niswonger Psychological Health, LLC
• Jodi Niswonger, L.C.S.W.
• Nita Kaul MD PC20

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.