Active NPI
Jolene LM Gray
- Behavior Technician
- Burlington, IA
National Provider Identifier
1891691911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 26-2860891
- Practice address
- 2209 Northern Dr
Burlington, IA 52601-2256 - Phone
- (319) 243-1524
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- 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 | 26-2860891 | IA | Primary |
Addresses
Primary practice location
2209 Northern Dr
Burlington, IA 52601-2256
Mailing address
2209 Northern Dr
Burlington, IA 52601-2256
Phone (319) 243-1524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792022400000",
"number": "1891691911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 NORTHERN DR",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526012256",
"telephone_number": "319-243-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 NORTHERN DR",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526012256",
"telephone_number": "319-243-1524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JOLENE",
"middle_name": "LM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IA",
"license": "26-2860891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.