Individual provider Active NPI

Iesha Lanae Camper

  • Behavior Technician
  • Bryan, TX
National Provider Identifier
1740108844
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
50917700 Issued in TX
Practice address
4110 College Main St
Apt 36
Bryan, TX 77801
Phone
(979) 422-6938
NPI assigned
Jul 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 50917700 TX Primary

Addresses

Primary practice location

4110 College Main St
Apt 36
Bryan, TX 77801

Mailing address

4110 College Main St
Apt 36
Bryan, TX 77801
Phone (979) 422-6938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1740108844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 COLLEGE MAIN ST",
            "address_2": "APT 36",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77801",
            "telephone_number": "979-422-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 COLLEGE MAIN ST",
            "address_2": "APT 36",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77801",
            "telephone_number": "979-422-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPER",
        "first_name": "IESHA",
        "middle_name": "LANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "50917700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.