Active NPI
Kaylie Michelle Jones
- Behavior Technician
- Edmond, OK
National Provider Identifier
1891475083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 963302
- Practice address
- 600 Liberty LN
Edmond, OK 73034-9432 - Phone
- (405) 320-8275
- NPI assigned
- Jul 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 963302 | OK | Primary |
Addresses
Primary practice location
600 Liberty LN
Edmond, OK 73034-9432
Mailing address
2821 Indian Creek Blvd
Okc, OK 73120
Phone (405) 320-8275
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
| License | State | Type | Specialty |
|---|---|---|---|
| 963302 | OK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1891475083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 INDIAN CREEK BLVD",
"city": "OKC",
"state": "OK",
"postal_code": "73120",
"telephone_number": "405-320-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LIBERTY LN",
"city": "EDMOND",
"state": "OK",
"postal_code": "730349432",
"telephone_number": "405-320-8275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KAYLIE",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "963302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.