Organization
MINDSPROUT ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREONNA JACKSON MS, BCBA, LBA (OWNER)
(510) 877-2786
Entity
Organization
Contact information
Practice address
5139 FIJI ISLAND CT, NORTH LAS VEGAS, NV 89031-0976
(213) 222-6474
(213) 281-0521
Mailing address
5940 S RAINBOW BLVD # 1182, LAS VEGAS, NV 89118-2540
(213) 222-6474
(213) 281-0521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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