WILLIE PEARL JACKSON
NPI 1841571478
Behavior Analyst in Las Vegas, NV

Q: What is Willie Jackson's NPI number?

The NPI number for Willie Jackson is 1841571478. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Q: What is Willie Jackson'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 Willie Jackson was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 09, 2011

5304 ROSELAND AVE, LAS VEGAS, NV 89130(702) 630-5009(702) 631-9821 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Willie Pearl Jackson NPPES

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

WILLIE PEARL JACKSON (NPI 1841571478) is an individual behavior analyst provider in Las Vegas, Nevada and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1841571478

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameWILLIE PEARL JACKSON

Location Address5304 ROSELAND AVELas Vegas, NV 89130-2635

Mailing Address5304 Roseland AveLas Vegas, NV 89130-2635 · (702) 630-5009 · Fax (702) 631-9821

Phone(702) 630-5009

Fax(702) 631-9821

Sole ProprietorYes

Enumeration DateSeptember 9, 2011

Last NPPES UpdateOctober 18, 2019

✔ NPI 1841571478 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.

5304 ROSELAND AVE, Las Vegas, NV 89130

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Other Identifiers 1

Medicaid1841571478NV

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 Willie Jackson's NPI number?

The NPI number for Willie Jackson is 1841571478. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Where is Willie Jackson located?

Willie Jackson practices at 5304 Roseland Ave, Las Vegas, NV 89130. The listed phone number is (702) 630-5009.

What is Willie Jackson'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 Willie Jackson was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.