MEDICARE: MS. DELANEY JENNA TODDY BA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-19-100986	NV
2	103K00000X	Behavior Analyst	LBA0745	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RBT-19-100986	OTHER		BACB
2	LBA0745	OTHER	NV	NEVADA ABA BOARD
3	1-22-63167	OTHER		BACB

General Provider Information

NPI Number	:	1558902114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DELANEY JENNA TODDY BA

Provider Business Mailing Address
First Line	:	5248 PALM PINNACLE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-5682
Country	:	US
Telephone Number	:	725-710-4529
Fax Number	:

Provider Business Practice Location Address
First Line	:	5248 PALM PINNACLE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-5682
Country	:	US
Telephone Number	:	725-710-4529
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2019
Last Update Date	:	01/05/2023

Similar Medicare Providers

1134711393 — FUNCTIONAL BEHAVIOR INSTITUTE
Practice Location Address:

5248 PALM PINNACLE AVE
LAS VEGAS, NV
89139-5682

Practice Phone: 307-575-2044
Practice Fax:

1396325957 — KAYLIE SHEFFIELD RBT
Practice Location Address:

5248 PALM PINNACLE AVE
LAS VEGAS, NV
89139-5682

Practice Phone: 307-575-2044
Practice Fax:

1952238396 — KIMBERLY G HERRERA
Practice Location Address:

9550 W RUSSELL RD UNIT 253
LAS VEGAS, NV
89148-5682

Practice Phone: 702-400-4586
Practice Fax:

1144647801 — SERGIO CHAVEZ
Practice Location Address:

5682 RAINBOW CREEK CT
LAS VEGAS, NV
89122-8624

Practice Phone: 702-749-8500
Practice Fax:

1366326548 — STEPHEN ERIC ALCORN
Practice Location Address:

9550 W RUSSELL RD UNIT 253
LAS VEGAS, NV
89148-5682

Practice Phone: 702-375-4133
Practice Fax:

1336803089 — MAURO ALEJANDRO LOPEZ
Practice Location Address:

167 LAS MITRAS LN
BROWNSVILLE, TX
78521-5682

Practice Phone: 956-525-3173
Practice Fax:

Directions to “ MS. DELANEY JENNA TODDY BA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.