Jessica Lynn Watson, RBT
Individual provider Active NPI Behavior Technician · Midwest City, OK
NPI 1457123770 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1457123770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 23-307521 (OK)
- Practice address
- 1717 S Air Depot Blvd
Midwest City, OK 73110-5103 - Phone
- (405) 622-4239
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-307521 | OK | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23-307521 | OK | Yes |
Addresses
Primary practice location
1717 S Air Depot Blvd
Midwest City, OK 73110-5103
Mailing address
1717 S Air Depot Blvd
Midwest City, OK 73110-5103
Phone (405) 622-4239
Other providers in Midwest City, OK
- Stephanie Warden
- Charlie N Warren
- Latrina Washington
- Miranda Joann Watford
- Watson Fed Comp Specialist Inc
- Cantrell Eugene Watts
- Brandi Weathers
- Joseph Paul Webb
- Derek Ethan Webber
- Fanee Webster
All providers in Midwest City, OK · Behavior Technician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.