Provider Demographics
NPI:1538925425
Name:PLADERA-CASTELLI, JAZZLYNN SHEREE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:JAZZLYNN
Middle Name:SHEREE
Last Name:PLADERA-CASTELLI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 ALLEGHENY MOON TER # 102
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-0786
Mailing Address - Country:US
Mailing Address - Phone:702-688-9054
Mailing Address - Fax:
Practice Address - Street 1:1000 WIGWAM PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-8164
Practice Address - Country:US
Practice Address - Phone:702-476-4286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0863103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst