JERRELL SHANAE WHITE
Behavior Technician

Address: 4535 W Russell Rd Ste 15, Las Vegas, NV 89118-2258

JERRELL SHANAE WHITE (NPI# 1629659198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629659198
Entity Type Individual
Full Name JERRELL SHANAE WHITE
Gender Female
Practice Address 4535 W Russell Rd Ste 15
Las Vegas
NV 89118-2258
Practice Telephone 7023682380
Mailing Address 312 Burgos Ave
North Las Vegas
NV 89030-4718
Certification Date 2021-04-16
Enumeration Date 2021-04-16
Last Update Date 2021-04-16
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL www.cfcnv.com (www.cfcnv.com) 312 Burgos Ave, North Las Vegas, NV 890304718 Direct CSV

Office Location

Street Address 4535 W RUSSELL RD STE 15
City LAS VEGAS
State NV
Zip Code 89118-2258

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679181796 Yandry Rodriguez Hernandez Technician 4535 W Russell Rd Ste 15, Las Vegas, NV 89118-2258 2020-07-15
1689142945 The Center for Change LLC Counselor - Addiction (Substance Use Disorder) 4535 W Russell Rd Ste 15, Las Vegas, NV 89118-2258 2018-11-05
1821006297 Lisa Moffett Social Worker - Clinical 4535 W Russell Rd Ste 15, Las Vegas, NV 89118-2258 2006-08-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588215065 Nevada Center of Healthy Living Clinic/Center - Mental Health (Including Community Mental Health Center) 4535 W Russell Rd Ste 13, Las Vegas, NV 89118-2258 2019-09-25

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1396201331 Arna Home Health, LLC. Home Health 4495 W. Hacienda Ave., Suite 11c, Las Vegas, NV 89118 2019-02-14
1720568520 Kurt Yaross Behavioral Analyst 7138 W Post Rd, #208, Las Vegas, NV 89118 2018-08-21
1548749385 Keisha Bere-Ruiz Behavioral Analyst 7318 W Post Rd #208, Las Vegas, NV 89118 2018-08-13
1295222081 Aliantcare Radiologic Technologist - Vascular Sonography 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 2018-04-17
1184173015 Girisgen & Kopolow Od PC · Pearle Vision Optometrist 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 2016-10-04
1184282535 Raymond Harry Norris Technician - Personal Care Attendant 5280 W Hacienda Ave Apt 2030, Las Vegas, NV 89118-0309 2019-05-31
1932714946 Tarlene Elaine Karns Technician - Personal Care Attendant 5245 Edmond St Apt 229, Las Vegas, NV 89118-0317 2020-09-15
1154968311 Simone Allison Bailey Counselor 5060 W Hacienda Ave Apt 2004, Las Vegas, NV 89118-0340 2019-12-06
1407474190 My Genius Lab LLC · Genics Laboratories Clinical Medical Laboratory 5052 S Jones Blvd Ste 135, Las Vegas, NV 89118-0556 2020-07-08
1144826520 Better Thoughts Transitional Live Corporation Physical Medicine & Rehabilitation - Brain Injury Medicine 5052 S Jones Blvd Ste 130, Las Vegas, NV 89118-0567 2020-12-10
Find all providers in zip 89118

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy 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.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124609730 Hannah Lauren Kozar Behavior Technician 7895 Red Rock Ridge Ave, Las Vegas, NV 89179-2002 2021-04-15
1215514070 Elijah Garcia Behavior Technician 9031 W La Madre Way, Las Vegas, NV 89149-3536 2021-03-26
1043896327 Mckenzie Elizabeth Llano Behavior Technician 10925 Lampione St, Las Vegas, NV 89141-3924 2021-03-18
1033794607 Dulce Maria Gastelum Lopez Behavior Technician 3430 E Tropicana Ave Ste 52, Las Vegas, NV 89121-7349 2021-03-15
1205421468 Jacqueline Hernandez Behavior Technician 6300 W Oakey Blvd, Las Vegas, NV 89146-1122 2021-03-09
1992390280 Fernanda Estefania Garza Castro Behavior Technician 2726 Rungsted St, Las Vegas, NV 89142-2760 2021-03-08
1720673635 Alexandra Raven Peppas Behavior Technician 950 Coronado Peak Ave, Las Vegas, NV 89183-4644 2021-03-02
1548855695 Hayli Chanel Mowe Behavior Technician 2831 Business Park Ct Ste 110a, Las Vegas, NV 89128-9010 2021-03-01
1487248001 Sydnee Lee Crosby Behavior Technician 1547 Stone Valley Ave, Las Vegas, NV 89183-6991 2021-02-24
1063006765 Charles Lauren Macasinag Lorena Behavior Technician 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 2021-02-23
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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