Individual provider Active NPI

Jordan Degrate

  • Behavior Technician
  • Ada, OK
National Provider Identifier
1851199285
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-415869 Issued in OK
Practice address
1300 Hoppe Blvd Ste 3
Ada, OK 74820-2319
Phone
(405) 857-8280
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 RBT-25-415869 OK Primary

Addresses

Primary practice location

1300 Hoppe Blvd Ste 3
Ada, OK 74820-2319

Mailing address

2210 24TH Ave NW
Norman, OK 73069-6496

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

State licenses

LicenseStateTypeSpecialty
RBT-25-415869OKMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Kid's Choice Therapies, LLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

1300 Hoppe Blvd
Ste 3
Ada, OK 74820
Phone (580) 279-0668

2210 24th Ave NW
Norman, OK 73069
Phone (405) 482-1905

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1851199285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOPPE BLVD STE 3",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202319",
            "telephone_number": "405-857-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRATE",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-25-415869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.