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Jefferson Detrick
NPI 1548619505 · Behavior Analyst · Las Vegas, NV
Jefferson Detrick is a Behavior Analyst provider in Las Vegas, NV (NPI 1548619505).
Provider details
- NPI number
- 1548619505
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5021 Alta Dr
Las Vegas, NV 89107-3937
Phone: (702) 816-2595
Fax: (702) 816-2574
Street-level locationGet directions
Mailing address
5021 Alta Dr
Las Vegas, NV 89107-3937
Registry dates
- Enumerated
- 2016-06-09
- Last updated
- 2016-06-09
Frequently asked questions
- What is Jefferson Detrick's NPI number?
- Jefferson Detrick's National Provider Identifier (NPI) is 1548619505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jefferson Detrick's specialty?
- Jefferson Detrick is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Jefferson Detrick located?
- Jefferson Detrick's practice location on file with NPPES is 5021 Alta Dr, Las Vegas, NV 89107-3937.
- What is Jefferson Detrick's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Detrick is (702) 816-2595.
- Is Jefferson Detrick's NPI active?
- Yes — Jefferson Detrick's NPI (1548619505) is active in the NPPES registry as of the last update on 2016-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.