Willie Pearl Jackson
Behavior Analyst • Las Vegas, NV
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Willie Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Willie Jackson was a registered Behavior Analyst practicing in Las Vegas, NV. Throughout an active medical career spanning 8 years, Willie Jackson provided care at the practice location at 5304 ROSELAND AVE until profile deactivation on 2019-10-10.
Practice Location & Contact Primary Location
5304 Roseland Ave
Las Vegas, NV 891302635
Specialty Benchmarks & Practice Insights
Comparative analytics for Behavior Analyst in Las Vegas, NV
Practicing in Las Vegas, NV (4661 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103K00000X
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Behavior Analyst
Rehabilitation Practitioner
Rehabilitation Practitioner
Behavior Analyst
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 5304 ROSELAND AVE, LAS VEGAS, NV 891302635 (Tel: 7026305009)
Registered at 5304 ROSELAND AVE, LAS VEGAS, NV 891302635 (Tel: 7026305009)
Recorded as WILLIE JACKSON
Behavior Analyst
Record deactivated on October 10, 2019
NPI status registered as active in NPPES database
Registered at 5304 ROSELAND AVE, LAS VEGAS, NV 891302635 (Tel: 7026305009)
Registered at 5304 ROSELAND AVE, LAS VEGAS, NV 891302635 (Tel: 7026305009)
Recorded as WILLIE JACKSON
Behavior Analyst
NPI status registered as active in NPPES database
Registered at 37 W OWENS AVE, N LAS VEGAS, NV 890306865 (Tel: 7026390277)
Registered at 37 W OWENS AVE, N LAS VEGAS, NV 890306865 (Tel: 7026390277)
Recorded as WILLIE JACKSON
Social Worker
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5304 Roseland Ave
Las Vegas, NV 891302635
Phone: 7026305009
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