Jacqueline Nereyda Galdamez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-106460 Issued in OK

Practice address

4515 E 91St St Ste 201
Tulsa, OK 74137-2810

Phone

(918) 730-9123

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1619513249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 S 76TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741122157",
            "telephone_number": "918-851-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 E 91ST ST STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372810",
            "telephone_number": "918-730-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALDAMEZ",
        "first_name": "JACQUELINE",
        "middle_name": "NEREYDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-19-106460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "centalreach.com",
            "affiliation": "N",
            "address_1": "4515 E 91st St Ste 201",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741372810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kasey Gaither
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• Austin Gajewski, DO
• Jennifer J. Galbraith, D.O.
• Tristan Alan Galbreath, DO
• Chasten Gale
• Lisa Danielle Gale, PMHNP-BC
• Smaranda A Galis, MD
• Ryan Francis Gall, MD
• Gallagher Chiropractic Centre

• Behavior Technician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.