Jadyn Biltz Bacaoco

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1771 E Flamingo Rd Ste 220a
Las Vegas, NV 89119-0850

Phone

(702) 560-2217

NPI assigned

Aug 22, 2024

Last updated

Aug 22, 2024By 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.

• Maxim Healthcare Services,Inc.

  • In Home Supportive Care Agency
  • Las Vegas, NV
  • NPI 1477908762
  NPD (past)

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1447083720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 HITCHING POST LN",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151529",
            "telephone_number": "858-722-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 220A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190850",
            "telephone_number": "702-560-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACAOCO",
        "first_name": "JADYN",
        "middle_name": "BILTZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helianne Bacallao
• Olga Caridad Bacallao
• Vincent Bacalso
• Nicole Bacani
• Susan Lapaz Bacani
• Jose Bacay
• Amir Bacchus, M.D.
• Brandon Baccus
• Carissa Mae Bacena, RN
• Norma Bach, M.A.

• 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 Aug 22, 2024; 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.