NPI 1396174231 · live from the CMS NPI Registry
Jacquelyn Porter Allen
Behavior Analyst in Las Vegas, NV. National Provider Identifier 1396174231, active.
NPI record
| NPI | 1396174231 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 5130 Pecos Road, Las Vegas, NV 89120 |
| Practice phone | 818-384-8339 |
| Mailing address | 101 S Fircroft St, West Covina, CA 91791 |
| Enumerated | November 1, 2013 |
| Last updated | November 1, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.