Jaleesa Marie Pittman
Individual provider Active NPI Behavior Technician · Caldwell, TX
NPI 1104705409 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1104705409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 24390410 (TX)
- Practice address
- 6112 County Road 248
Caldwell, TX 77836-4197 - Phone
- (832) 923-6821
- NPI assigned
- Aug 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24390410 | TX | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 24390410 | TX | Yes |
Addresses
Primary practice location
6112 County Road 248
Caldwell, TX 77836-4197
Mailing address
6112 County Road 248
Caldwell, TX 77836-4197
Phone (832) 923-6821
Other providers in Caldwell, TX
- Heather Leeann Mills
- Christina Marie Neugebauer
- Kia E Parsi
- Raven Pierre
- Joseph N. Piper
- Lensey Ragnes
- Alyson Patrice Rockhold
- Amanda Rose
- Kevin James Shimek
- Shirley Ann Smith
All providers in Caldwell, TX · Behavior Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.