Jodie Lee Tagel, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-31602

Practice address

3534 S 108TH St
Omaha, NE 68144-4910

Phone

(402) 281-4028

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1336607712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13605 S 131ST ST",
            "city": "SPRINGFIELD",
            "state": "NE",
            "postal_code": "680593200",
            "telephone_number": "402-672-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 S 108TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444910",
            "telephone_number": "402-281-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGEL",
        "first_name": "JODIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-31602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-18-31602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Tackett
• Ysabel Tackitt
• Amal Bushra Tadros
• Mary B Tadros, MD
• Salwa Tadros
• Carolyn Linnae Taggart-Burns, DDS
• Tamotu Tagoa'I
• Mary Shea Tagoai
• Lahkapaw H Tahmlawah
• Ruot Tai

• Behavior Analyst in Omaha, NE
• Providers in Omaha, NE by specialty
• Behavior Analyst in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.