Individual provider Active NPI

Lorena Cristina Leon Rosales

  • Behavior Analyst
  • Jenks, OK
National Provider Identifier
1306433313
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA-1-25-85333 Issued in OK
Practice address
11982 S Mulberry CT
Jenks, OK 74037-2181
Phone
(918) 201-1865
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-155826 OK
Behavior Analyst 103K00000X BCBA-1-25-85333 OK Primary

Addresses

Primary practice location

11982 S Mulberry CT
Jenks, OK 74037-2181

Mailing address

11982 S Mulberry CT
Jenks, OK 74037-2181
Phone (918) 201-1865

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

State licenses

LicenseStateTypeSpecialty
RBT-21-155826OKMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1306433313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11982 S MULBERRY CT",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740372181",
            "telephone_number": "918-201-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11982 S MULBERRY CT",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740372181",
            "telephone_number": "918-201-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON ROSALES",
        "first_name": "LORENA",
        "middle_name": "CRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-21-155826",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "BCBA-1-25-85333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.