Lillian Gayle Dietzel

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1101 N Birch Ave
Broken Arrow, OK 74012-2694

Phone

(539) 888-6828

NPI assigned

Oct 28, 2026

Last updated

Oct 28, 2026By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1164320362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N BIRCH AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122694",
            "telephone_number": "539-888-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N BIRCH AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122694",
            "telephone_number": "539-888-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZEL",
        "first_name": "LILLIAN",
        "middle_name": "GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.