Active NPI
Jessica Reiss, M.S., BCBA
- Behavior Analyst
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-30075
- Practice address
- 3015 E Skelly Dr Ste 395
Tulsa, OK 74105-6348 - Phone
- (918) 764-8378
- NPI assigned
- Mar 16, 2016
- Last updated
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-30075 | OK | Primary |
Addresses
Primary practice location
3015 E Skelly Dr Ste 395
Tulsa, OK 74105-6348
Mailing address
18217 Sandhurst CT
Edmond, OK 73012-5601
Phone (808) 226-8487
Other practice location 1
8787 N Owasso Expy Ste E
Owasso, OK 74055-4482
Phone (918) 516-2211
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Learning LLC | Behavior Analyst | Current | Accepting new patients |
Locations
8787 N Owasso Expy
Ste E
Owasso, OK 74055
Phone (918) 516-2211
3015 E Skelly Dr
Ste 395
Tulsa, OK 74105
Phone (918) 764-8378
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Tulsa, OK
- NPI 1942885876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1245691336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18217 SANDHURST CT",
"city": "EDMOND",
"state": "OK",
"postal_code": "730125601",
"telephone_number": "808-226-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 E SKELLY DR STE 395",
"city": "TULSA",
"state": "OK",
"postal_code": "741056348",
"telephone_number": "918-764-8378"
}
],
"practiceLocations": [
{
"address_1": "8787 N Owasso Expy Ste E",
"address_purpose": "LOCATION",
"city": "Owasso",
"state": "OK",
"postal_code": "740554482",
"country_code": "US",
"telephone_number": "918-516-2211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REISS",
"first_name": "JESSICA",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-16",
"last_updated": "2023-07-27",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "1-18-30075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.