Provider Demographics
NPI:1639543184
Name:JARVIS, JILLIAN (BCBS, LBA)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:JARVIS
Suffix:
Gender:F
Credentials:BCBS, LBA
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:
Other - Last Name:FRANCOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6897 W CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117
Mailing Address - Country:US
Mailing Address - Phone:888-505-1637
Mailing Address - Fax:888-501-0472
Practice Address - Street 1:6897 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117
Practice Address - Country:US
Practice Address - Phone:888-505-1637
Practice Address - Fax:888-501-0472
Is Sole Proprietor?:No
Enumeration Date:2015-11-20
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst