Jesse Tabaczynski

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1091 S Cimarron Rd Ste A4
Las Vegas, NV 89145-2445

Phone

(702) 992-7908

NPI assigned

Aug 13, 2024

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

Practice roles

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.

• Reset Behavior LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1841800554
  NPD (past)

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1992536684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 S CIMARRON RD STE A4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891452445",
            "telephone_number": "702-992-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 S CIMARRON RD STE A4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891452445",
            "telephone_number": "702-992-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABACZYNSKI",
        "first_name": "JESSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quynhvy Ta, DO
• Mary Ann Ta'Ase
• Esekia Taalo
• Rachel Q Taasan
• Taba Personal Care
• Carmen Tabalno
• Machaela Tabalno
• Brandon Auguste Tabamo
• Melona Tabanao
• Elena Tabar

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.