Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERSON DETRICK
ActiveJEFFERSON DETRICK is a Behavior Analyst healthcare provider located in LAS VEGAS, Nevada. NPI 1548619505 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · LAS VEGAS, NV
Registration Details
- NPI Number
- 1548619505
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2016 (10.136799539409 yrs)
- Last Updated
- Jun 9, 2016
Practice Information
- Address
-
5021 ALTA DRLAS VEGAS, NV, 891073937Browse NV providers · Browse ZIP 89107
- Phone
- 7028162595
- Fax
- 7028162574
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| MR. CHRIS HOLCOMB | PHD., CCC-SLP, BCBA | 1386763530 |
| MRS. JODI LANGFORD | RBT | 1902015274 |
| DR. JAMIE MICHELLE HUGHES-LIKA | PHD, BCBA-D, LBA | 1033305131 |
| MR. JUSTIN N KYRIANNIS | M.A., BCBA,LBA, LMHC | 1760678783 |
| DR. DIANA RICHARDSON FELT | — | 1437346269 |
| SHEA S REDD | BCBA | 1144417734 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.