Individual provider Active NPI

Jeffrey Gesick, BCBA, LBA

  • Behavior Analyst
  • Sparks, NV
National Provider Identifier
1447626551
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0059 Issued in NV
Practice address
979 Pyramid Way Ste 115
Sparks, NV 89431-3172
Phone
(775) 657-8309
NPI assigned
Aug 12, 2015
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0059 NV Primary

Addresses

Primary practice location

979 Pyramid Way Ste 115
Sparks, NV 89431-3172

Mailing address

1280 E Huffaker LN
Reno, NV 89511-1412
Phone (775) 220-6827

Other practice location 1

5595 Equity Ave
Suite 400
Reno, NV 89502-2589
Phone (775) 322-6060

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

LicenseStateTypeSpecialty
LBA0059NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Collective Learning Consultants Behavior Analyst Past Accepting new patients

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1447626551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 E HUFFAKER LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111412",
            "telephone_number": "775-220-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 PYRAMID WAY STE 115",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313172",
            "telephone_number": "775-657-8309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5595 Equity Ave",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022589",
            "country_code": "US",
            "telephone_number": "775-322-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GESICK",
        "first_name": "JEFFREY",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.