JERRELL SHANAE WHITE
NPI 1629659198
Behavior Technician in Las Vegas, NV

Active since April 16, 2021
4535 W RUSSELL RD STE 15, LAS VEGAS, NV 89118(702) 368-2380 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerrell Shanae White NPPES

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

JERRELL SHANAE WHITE (NPI 1629659198) is an individual behavior technician in Las Vegas, Nevada and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1629659198
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJERRELL SHANAE WHITE
Location Address4535 W RUSSELL RD STE 15Las Vegas, NV 89118-2258
Mailing Address312 Burgos AveNorth Las Vegas, NV 89030-4718
Sole ProprietorYes
Enumeration DateApril 16, 2021
NPPES CertifiedApril 16, 2021
NPI 1629659198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
4535 W RUSSELL RD STE 15, Las Vegas, NV 89118

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
4535 W RUSSELL RD STE 15
LAS VEGAS, NV 89118
Social Worker (Clinical)
4535 W RUSSELL RD STE 15
LAS VEGAS, NV 89118
Technician
4535 W RUSSELL RD STE 15
LAS VEGAS, NV 89118
Psychologist (Clinical)
4535 W RUSSELL RD STE 15
LAS VEGAS, NV 89118

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 Jerrell White's NPI number?

The NPI number for Jerrell White is 1629659198. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Jerrell White located?

Jerrell White practices at 4535 W Russell Rd Ste 15, Las Vegas, NV 89118. The listed phone number is (702) 368-2380.

What is Jerrell White's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jerrell White was last updated on April 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.