MEDICARE: VERNESSA JACKSON

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	:	1730509365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERNESSA JACKSON

Provider Business Mailing Address
First Line	:	4021 GASTER AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-6697
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5708 ARROW TREE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-7277
Country	:	US
Telephone Number	:	702-675-0794
Fax Number	:

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

Provider Enumeration Date	:	04/22/2014
Last Update Date	:	04/22/2014

Similar Medicare Providers

1518221647 — RAMONE DERRICK REED
Practice Location Address:

5708 ARROW TREE ST
LAS VEGAS, NV
89130-7277

Practice Phone: 702-443-5214
Practice Fax:

1003244112 — HORIZON BEHAVIORAL HEALTH SERVICES
Practice Location Address:

5708 ARROW TREE ST
LAS VEGAS, NV
89130-7277

Practice Phone: 702-509-9860
Practice Fax:

1902227069 — ACE'S BEHAVIORAL HEALTH SERVICE
Practice Location Address:

5708 ARROW TREE ST
LAS VEGAS, NV
89130-7277

Practice Phone: 702-577-6266
Practice Fax:

1619132883 — NICOLE P. LAM, LLC
Practice Location Address:

7277 SASHAYING SPIRIT CT
LAS VEGAS, NV
89131-2356

Practice Phone: 702-328-8349
Practice Fax:

1609172931 — JOSHUA BRANDON RIVERS
Practice Location Address:

7277 SILVER CHARM CT
LAS VEGAS, NV
89131-4129

Practice Phone: 702-768-9985
Practice Fax:

1679256739 — NESTOR LAZO LMT
Practice Location Address:

7277 W CAMERO AVE
LAS VEGAS, NV
89113-4643

Practice Phone: 808-464-8019
Practice Fax:

Directions to “ VERNESSA JACKSON ” 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.