Active NPI
Jaylyn Ariana Reeder
- Behavior Technician
- El Paso, TX
National Provider Identifier
1134734346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 12330 Pellicano Drive
Suite B
El Paso, TX 79936 - Phone
- (915) 613-5255
- NPI assigned
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
12330 Pellicano Drive
Suite B
El Paso, TX 79936
Mailing address
210TH Ave
Reed City, MI 49677
Phone (810) 294-2464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910100021 | Other | MI | BLUE CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1134734346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210TH AVE",
"city": "REED CITY",
"state": "MI",
"postal_code": "49677",
"telephone_number": "810-294-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12330 PELLICANO DRIVE",
"address_2": "SUITE B",
"city": "EL PASO",
"state": "TX",
"postal_code": "79936",
"telephone_number": "915-613-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "JAYLYN",
"middle_name": "ARIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "910100021",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.