Jaden Thai Alexandria Liedtke, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-335086 Issued in TX

Practice address

2219 SW 74TH St Ste 109-115
Oklahoma City, OK 73159-3931

Phone

(405) 355-3239

NPI assigned

Jan 30, 2025

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walnut Behavioral Therapy LLC

  • Behavior Analyst
  • Oklahoma City, OK
  • NPI 1831917467
  NPD
• Bilingual Pediatric Therapies

  • Speech-Language Pathologist
  • Oklahoma City, OK
  • NPI 1336444884
  NPD (past)

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1184437337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 S SOONER RD APT 36201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352724",
            "telephone_number": "903-399-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 SW 74TH ST STE 109-115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593931",
            "telephone_number": "405-355-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEDTKE",
        "first_name": "JADEN",
        "middle_name": "THAI ALEXANDRIA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-24-335086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Ana Liddiard
• Amy Rae Lide
• Heather Liebe, MD
• Jacob Lieberman
• Sherry Lynn Lieberz, P.T.A.
• Caitlin Trang Lieng, MS, ARNP
• Travis W. Lierly, D.D.S.
• Andrew Hyun Liew, MD
• Life and Hope Counseling Agnecy
• Life Change Outpatient, LLC

• Behavior Technician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.