Jacob Lee

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0682 Issued in NV

Practice address

555 N Maryland Pkwy
Las Vegas, NV 89101-3133

Phone

(702) 265-8436

NPI assigned

Nov 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspire Behavioral Services LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1417697970
  NPD
• Aspire Behavioral Services LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1942059431
  NPD
• Southwest Autism & Behavioral Solutions

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1497168744
  NPD (past)
• 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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1720556194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 S DURANGO DR STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131834",
            "telephone_number": "702-209-3544",
            "fax_number": "725-205-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013133",
            "telephone_number": "702-265-8436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 S Durango Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891131834",
            "country_code": "US",
            "telephone_number": "702-209-3544",
            "fax_number": "725-205-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyun Young Lee
• Hyunah Lee
• Hyungbin Lee, DMD
• Isaac Lee, OTD, OTR/L
• Isis Lee
• Jacquelynn T Lee, M.D.
• Jaden Lee
• Jadin Lannedy Lee
• James Lee
• James C Lee, LCSW

• 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 Jan 11, 2023; 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.