Individual provider Active NPI

Jaleisha Freeman

  • Behavior Technician
  • Killeen, TX
National Provider Identifier
1922742543
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-212885 Issued in TX
Practice address
1801 Trimmier Rd Ste A4-A5
Killeen, TX 76541-8521
Phone
(254) 294-4488
NPI assigned
Apr 21, 2022
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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-22-212885 TX Primary

Addresses

Primary practice location

1801 Trimmier Rd Ste A4-A5
Killeen, TX 76541-8521

Mailing address

51425 Tiguas Dr Apt 2
Fort Hood, TX 76544-2716
Phone (910) 378-5478

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.juniperhw.com Other

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-22-212885TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1922742543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51425 TIGUAS DR APT 2",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765442716",
            "telephone_number": "910-378-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 TRIMMIER RD STE A4-A5",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765418521",
            "telephone_number": "254-294-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JALEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-22-212885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.juniperhw.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Education and contact",
            "address_1": "1801 Trimmier Rd Ste A4-A5",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765418521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.