Jayden Victoria Blackwell
Individual provider Active NPI Behavior Technician · Jenks, OK
NPI 1235925447 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1235925447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 716 E Main PL
Jenks, OK 74037 - Phone
- (479) 318-2300
- NPI assigned
- Apr 15, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Learning and Behavior Solutions, LLC. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | OK | Yes |
Addresses
Primary practice location
716 E Main PL
Jenks, OK 74037
Mailing address
17507 E 44TH St
Tulsa, OK 74134-6021
Phone (682) 336-5438
Other providers in Jenks, OK
- Elyssia Shelby Begley
- Carol Bennett
- Stephen Travis Bennett
- Rebecca J. Berman
- Sandeep K Bhatia
- Casey Blair
- Mycah Blanton
- Bloom School Based Therapy
- Bloom Speech & Neuro Rehab, LLC
- Blooming Mind PLLC
All providers in Jenks, OK · Behavior Technician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.