Mindsprout ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MINDSPROUT ABA LLC

Practice address

5139 Fiji Island CT
North Las Vegas, NV 89031-0976

Phone

(213) 222-6474

Fax

(213) 281-0521

NPI assigned

Nov 13, 2025

Organization subpart

No

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

Authorized official

Name

Breonna Jackson, MS, BCBA, LBANPI 1740824937

Title

Owner

Phone

(510) 877-2786

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Breonna Elodia Ginave Jackson

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1740824937
  NPD Authorized official

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1629938667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD # 1182",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182540",
            "telephone_number": "213-222-6474",
            "fax_number": "213-281-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5139 FIJI ISLAND CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310976",
            "telephone_number": "213-222-6474",
            "fax_number": "213-281-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPROUT ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BREONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-877-2786",
        "authorized_official_credential": "MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.