MEDICARE: JACQUESHA MINGO

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1861940942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUESHA MINGO

Provider Business Mailing Address
First Line	:	2517 ROYAL ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-3811
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2517 ROYAL ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-3811
Country	:	US
Telephone Number	:	702-583-2893
Fax Number	:

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

Provider Enumeration Date	:	09/16/2016
Last Update Date	:	12/02/2025

Similar Medicare Providers

1538923941 — ANA KAREN SAUCEDO
Practice Location Address:

2525 ROYAL ST
NORTH LAS VEGAS, NV
89030-3811

Practice Phone: 702-733-2890
Practice Fax:

1346259967 — DR. RHONDA S COHEN DPM
Practice Location Address:

3811 NORTH ROXBORO ROAD , SUITE A
DURHAM, NC
27704-5800

Practice Phone: 919-471-1002
Practice Fax: 919-471-2638

1528164878 — DR. VINCENT KEITH CAPONE D.M.D.
Practice Location Address:

837 DEER PARK AVE
NORTH BABYLON, NY
11703-3811

Practice Phone: 631-587-4545
Practice Fax: 631-587-4752

1316032386 — DR. MARC A CHARLES M.D.
Practice Location Address:

1501 NORTH HARBOR BLVD , 203
FULLERTON, CA
92835-3811

Practice Phone: 714-871-5411
Practice Fax: 714-871-2401

1902938152 — FOOT AND ANKLE CENTER OF DURHAM, PC
Practice Location Address:

3811 NORTH ROXBORO ROAD , SUITE A
DURHAM, NC
27704-5800

Practice Phone: 919-471-1002
Practice Fax: 919-471-2638

1750500146 — NORTH BABYLON DENTAL, P.C.
Practice Location Address:

837 DEER PARK AVE
NORTH BABYLON, NY
11703-3811

Practice Phone: 631-587-4545
Practice Fax: 631-587-4752

Directions to “ JACQUESHA MINGO ” 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 © 2007-2025 (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.