Active NPI
Jadacie Cook
- Behavior Technician
- Reno, NV
National Provider Identifier
1477310225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT4109
- Practice address
- 2440 Vassar St Ste 1
Reno, NV 89502-3224 - Phone
- (775) 448-6533
- NPI assigned
- Feb 28, 2024
- 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 | RBT4109 | NV | Primary |
Addresses
Primary practice location
2440 Vassar St Ste 1
Reno, NV 89502-3224
Mailing address
2440 Vassar St Ste 1
Reno, NV 89502-3224
Phone (775) 448-6533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT4109 | Other | NV | STATE OF NEVADA BOARD OF APPLIED BEHAVIOR ANALYSIS |
| RBT-24-329437 | Other | NV | BEHAVIOR ANALYST CERTIFICATION BOARD |
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 |
|---|---|---|---|
| RBT4109 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1477310225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 VASSAR ST STE 1",
"city": "RENO",
"state": "NV",
"postal_code": "895023224",
"telephone_number": "775-448-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 VASSAR ST STE 1",
"city": "RENO",
"state": "NV",
"postal_code": "895023224",
"telephone_number": "775-448-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JADACIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT4109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEVADA BOARD OF APPLIED BEHAVIOR ANALYSIS",
"identifier": "RBT4109",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "RBT-24-329437",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.