JEFFERSON DETRICK
NPI 1548619505
Behavior Analyst in Las Vegas, NV

Q: What is Jefferson Detrick's NPI number?

The NPI number for Jefferson Detrick is 1548619505. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Q: What is Jefferson Detrick's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Jefferson Detrick was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2016

5021 ALTA DR, LAS VEGAS, NV 89107(702) 816-2595(702) 816-2574 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jefferson Detrick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON DETRICK (NPI 1548619505) is an individual behavior analyst provider in Las Vegas, Nevada and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1548619505

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameJEFFERSON DETRICK

Location Address5021 ALTA DRLas Vegas, NV 89107-3937

Mailing Address5021 Alta DrLas Vegas, NV 89107-3937 · (702) 816-2595 · Fax (702) 816-2574

Phone(702) 816-2595

Fax(702) 816-2574

Sole ProprietorNo

Enumeration DateJune 9, 2016

✔ NPI 1548619505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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.

5021 ALTA DR, Las Vegas, NV 89107

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONNOLEIGH SWEETMAN

Behavior Analyst

5021 ALTA DR
LAS VEGAS, NV 89107

Clark County (702) 816-2595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Detrick's NPI number?

The NPI number for Jefferson Detrick is 1548619505. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Jefferson Detrick located?

Jefferson Detrick practices at 5021 Alta Dr, Las Vegas, NV 89107. The listed phone number is (702) 816-2595.

What is Jefferson Detrick's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jefferson Detrick was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.