Individual provider Active NPI

Marlen Garcia Jorrin

  • Behavior Analyst
  • North Las Vegas, NV
National Provider Identifier
1760976658
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
417 Foxvale Ave
North Las Vegas, NV 89032-6150
Phone
(702) 619-1859
Fax
(702) 463-0104
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

417 Foxvale Ave
North Las Vegas, NV 89032-6150

Mailing address

417 Foxvale Ave
North Las Vegas, NV 89032-6150
Phone (702) 463-0082

Other practice location 1

2110 E Flamingo Rd Ste 205
Las Vegas, NV 89119-5192
Phone (702) 620-5105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1760976658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FOXVALE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326150",
            "telephone_number": "702-463-0082",
            "fax_number": "702-463-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FOXVALE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326150",
            "telephone_number": "702-619-1859",
            "fax_number": "702-463-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 E Flamingo Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195192",
            "country_code": "US",
            "telephone_number": "702-620-5105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA JORRIN",
        "first_name": "MARLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.