Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Detrick

Individual provider Behavior Analyst · NPI 1548619505

Jefferson Detrick is a Behavior Analyst in Las Vegas, Nevada. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

5021 Alta Dr
Las Vegas, NV 89107-3937
Phone: (702) 816-2595
Fax: (702) 816-2574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1548619505
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2016
Last updated in NPPESJune 9, 2016
Mailing address5021 Alta Dr, Las Vegas, NV 89107-3937

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