Jazmone Bailey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2110 E Flamingo Rd Ste 150
Las Vegas, NV 89119

Phone

(702) 270-3219

Fax

(866) 833-2056

NPI assigned

May 21, 2018

Reactivated

Oct 23, 2019

Last updated

Nov 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Southwest Autism & Behavioral Solutions, LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1336464460
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1528559010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190",
            "telephone_number": "702-270-3219",
            "fax_number": "866-833-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-270-3219",
            "fax_number": "866-833-2056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8670 W Cheyenne Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891297460",
            "country_code": "US",
            "telephone_number": "702-822-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 E Flamingo Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89119",
            "country_code": "US",
            "telephone_number": "702-270-3219",
            "fax_number": "866-833-2056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JAZMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2019-11-03",
        "deactivation_date": "2019-10-09",
        "reactivation_date": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idell Bailey, OWNER
• Jacqueanna Bailey
• James Arthur Bailey, M.D.
• Jamie Bailey
• Jason Bailey
• Jessica Bailey, RBT
• Jessica Nicole Bailey
• Jonathan Shelley Bailey
• Juilian Bailey
• Kathryn Ann Bailey

• 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 Nov 3, 2019; 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.