Jeniffer Jenkins

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61114143 Issued in WA

Practice address

14828 Serenita Ave
Oklahoma City, OK 73134-2028

Phone

(855) 782-7822

NPI assigned

Dec 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1427696228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16916 CEDARWOOD DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126713",
            "telephone_number": "360-820-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14828 SERENITA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342028",
            "telephone_number": "855-782-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JENIFFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60876439",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61114143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aba@rehabwithoutwalls.com",
            "affiliation": "N",
            "address_1": "414 W Bakerview Rd Ste 101",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982268180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana Jenkins, CM
• Felecia Diane Jenkins
• Harold Douglas Jenkins, RRT-ACCS
• Harvey Clarke Jenkins Jr., M.D.
• James Hunter Jenkins
• Jessica Jenkins
• Julia Jenkins, APRN-CNP
• Justin D. Jenkins, MD
• Kelcie Leeanne Jenkins, PA
• Krislyn Deanne Jenkins

• Behavior Analyst in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.