Individual provider Active NPI

Jessica Reiss, M.S., BCBA

  • Behavior Analyst
  • Tulsa, OK
National Provider Identifier
1245691336
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-30075 Issued in OK
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Momentum Learning LLC Behavior Analyst CurrentSince Jul 31, 2023 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.

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.

Verify at the official NPI Registry.