Active NPI
Leticia Jackson
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1881982098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 953 E Sahara Ave Ste B13
Las Vegas, NV 89104-3012 - Phone
- (702) 619-9683
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NV | Primary |
Addresses
Primary practice location
953 E Sahara Ave Ste B13
Las Vegas, NV 89104-3012
Mailing address
953 E Sahara Ave Ste B13
Las Vegas, NV 89104-3012
Phone (702) 619-9683
Other practice location 1
1810 E Sahara Ave
Suite 200
Las Vegas, NV 89104-3735
Phone (702) 207-6782
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": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1881982098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 E SAHARA AVE STE B13",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891043012",
"telephone_number": "702-619-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 E SAHARA AVE STE B13",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891043012",
"telephone_number": "702-619-9683"
}
],
"practiceLocations": [
{
"address_1": "1810 E Sahara Ave",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891043735",
"country_code": "US",
"telephone_number": "702-207-6782",
"fax_number": "702-207-6791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "LETICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.