Kobe M Jamison, BA, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-224914 Issued in NU

Practice address

1585 N 113TH Ave Ste 102
Avondale, AZ 85392-3938

Phone

(623) 259-9819

NPI assigned

May 25, 2023

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1164114237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15116 N COTTON LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889618",
            "telephone_number": "623-259-9819",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N 113TH AVE STE 102",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853923938",
            "telephone_number": "623-259-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "KOBE",
        "middle_name": "M",
        "credential": "BA, RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-22-224914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shasa Jackson, LCSW, DBH
• Heather Suzanna Jacobs, RN, MPH, MSN, CPNP
• Trudy Jacobs
• Amaris Shanelle James
• Ketura James
• Michelle Roxanne Jamison, RN
• Jangay Psychiatric Services
• Forever Savannah Rose Jaramillo
• Kensley Aileen Jarman, RBT
• Chris Alan Jaron, O.D.

• Behavior Technician in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.