Kendra Jeske

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-78069 Issued in AZ

Practice address

6487 W Castle Pines Way
Tucson, AZ 85757-1503

Phone

(720) 436-2365

NPI assigned

Nov 2, 2018

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

Practice roles

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.

• Cmeza, LLC

  • Behavior Analyst
  • Tucson, AZ
  • NPI 1659995447
  NPD

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1891263315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6487 W CASTLE PINES WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857571503",
            "telephone_number": "720-436-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6487 W CASTLE PINES WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857571503",
            "telephone_number": "720-436-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESKE",
        "first_name": "KENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "RBT-19-78069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "secretparentsociety.com",
            "affiliation": "N",
            "address_1": "6487 W Castle Pines Way",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857571503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Jepson, PSYD, LICSW
• Jeri B Hassman MD PC (Calmwood Medical)
• Julia Jernberg, MD
• Jerry Greenberg MD PC
• Jerry Neuman MD PC
• April Deann Jessee, MS ATC
• Jessica Belter LCSW PLLC
• Jessica Lane MD PLLC
• Darrell James Jessop, MD
• Shalynn Jessup, PTA

• Behavior Technician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.