Jaqualynn Brown

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-239159 Issued in OK

Practice address

1402 W Main St
Antlers, OK 74523-2059

Phone

(580) 209-6111

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

No

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.

• Brighter Days Wellness & Behavior Analysis Inc

  • Primary Care Nurse Practitioner
  • Antlers, OK
  • NPI 1982366761

  Behavior Technician

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2022.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1295450286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W MAIN ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745232059",
            "telephone_number": "580-209-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W MAIN ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745232059",
            "telephone_number": "580-209-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAQUALYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-22-239159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brighter Heights Oklahoma, LLC
• Brighter Heights Oklahoma, LLC
• Autumn Bristow
• Kathy Brokar
• Deron Brown
• Valarie June Bruffett, OTR/L
• Carla M Burton
• Statrece Carreathers, BS
• Joy Carter
• Sharon Carter

• All providers in Antlers, OK
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.