Individual provider Active NPI

Temiloluwa Oguntayo, RBT-25-413315

  • Behavior Technician
  • Jenks, OK
National Provider Identifier
1174324099
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-413315 Issued in OK
Practice address
11982 S Mulberry CT
Jenks, OK 74037-2181
Phone
(539) 770-0940
NPI assigned
Mar 24, 2025
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-413315 OK Primary

Addresses

Primary practice location

11982 S Mulberry CT
Jenks, OK 74037-2181

Mailing address

1908 S Dogwood PL
Broken Arrow, OK 74012-6347
Phone (918) 607-5589

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

State licenses

LicenseStateTypeSpecialty
RBT-25-413315OKMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1174324099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 S DOGWOOD PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126347",
            "telephone_number": "918-607-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11982 S MULBERRY CT",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740372181",
            "telephone_number": "539-770-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNTAYO",
        "first_name": "TEMILOLUWA",
        "credential": "RBT-25-413315",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-25-413315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.