Jollieanna Bocanegra
Individual provider Active NPI Behavior Technician · Las Vegas, NV
NPI 1710780705 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1710780705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7061 W Arby Ave Ste 170
Las Vegas, NV 89113-4464 - Phone
- (702) 485-5515
- NPI assigned
- Mar 27, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
7061 W Arby Ave Ste 170
Las Vegas, NV 89113-4464
Mailing address
7061 W Arby Ave Ste 170
Las Vegas, NV 89113-4464
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.