Jarred Vaughan – Behavior Technician in Ada, OK

Key facts

NPI: 1902768682
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
License: RBT-25-489458 (OK)
Practice address: 1300 Hoppe Blvd Ste 3
Ada, OK 74820-2319
Phone: (405) 857-8280
NPI assigned: Dec 1, 2025
Sex: Unspecified or another gender identity
Sole proprietor: No

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 and National Provider Directory roles.

Kid'S Choice Therapies, LLC Health Service Clinic/Center · Norman, OK · NPI 1669008231

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
RBT-25-489458	OK	MD	Behavior Technician

Practice roles

Organization	Specialty	Status	New patients
Kid'S Choice Therapies, LLC		Past since Dec 7, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X	RBT-25-489458	OK	Yes

Addresses

Primary practice location

1300 Hoppe Blvd Ste 3
Ada, OK 74820-2319

Mailing address

1300 Hoppe Blvd Ste 3
Ada, OK 74820-2319
Phone (405) 857-8280

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2025.

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1902768682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOPPE BLVD STE 3",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202319",
            "telephone_number": "405-857-8280"
        },
        {
            "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": "VAUGHAN",
        "first_name": "JARRED",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-25-489458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

All providers in Ada, OK · Behavior Technician in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.