Amairanie Baltazar
Individual provider Active NPI Behavior Technician · Jenks, OK
NPI 1114803129 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1114803129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 11982 S Mulberry CT
Jenks, OK 74037-2181 - Phone
- (539) 777-0940
- NPI assigned
- Aug 14, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teach Me LLC | Past |
Accepting new patients | |
| Therapy & Beyond Medical Management, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
11982 S Mulberry CT
Jenks, OK 74037-2181
Mailing address
11982 S Mulberry CT
Jenks, OK 74037-2181
Phone (539) 777-0940
Other providers in Jenks, OK
- Heather Baker
- Lindsey Kathleen Baker
- Patrick D Baker
- Haley L Baldridge
- Jeffery Baldridge918
- Victoria Barbee
- Brian Nelson Barnes
- Amy Bates
- Malexa Saepharn Batin
- Be Well Medical LLC
All providers in Jenks, OK · Behavior Technician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 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.