Oscar Alfredo Jimenez Iraheta, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

12606 Greenville Ave Ste 260
Dallas, TX 75243-1921

Phone

(346) 200-5618

NPI assigned

Dec 17, 2018

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1598236440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 BRISBANE CT STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794924",
            "telephone_number": "346-200-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "346-200-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ IRAHETA",
        "first_name": "OSCAR",
        "middle_name": "ALFREDO",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB454134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103590500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jife Luxury Car Service LLC (JIFE Luxury Car Service)
• Shantel Keisha Jiggetts
• Misbah Jilani
• Jill Davenport, MD, PLLC
• Gracy Jilson, WHCNP
• Juan M Jimenez-Oliva, M.D.
• Amanda Indalecia Jimenez, ACNP-AG
• Consuelo Emilia Jimenez
• Eli Jimenez, PTA
• Irma Cruz Jimenez, RN

• Behavior Analyst in Dallas, TX
• Providers in Dallas, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.