Jefferson Holdings

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

JEFFERSON HOLDINGS

Practice address

800 N Rainbow Blvd Ste 124
Las Vegas, NV 89107-1190

Phone

(702) 417-9024

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Sabreanna Jefferson

Title

Owner

Phone

(702) 417-9024

Specialties & licenses 1

Addresses

Other names 1

• Evolve Doing business as

Locations

Practitioners 1

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

• Eugene Wallace

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1285932608
  NPD

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1669950150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071190",
            "telephone_number": "702-417-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071190",
            "telephone_number": "702-417-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "SABREANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-417-9024"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eva Jeffers
• Jefferson C Yu MD
• Carolyn Laurice Jefferson Cornelius, MD
• Jefferson Family Corporation Inc
• Jefferson Family Corporation, Inc
• Angelina Regina Jefferson-Das
• Adrienne Jefferson
• Alaya Jefferson
• Asia Jefferson
• Cammeron Elijah Jefferson, QBA

• Behavior Analyst in Las Vegas, NV
• Providers in 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 Aug 6, 2018; 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.