NPI 1740876416 · live from the CMS NPI Registry
Jazmine Raeann Alcala, RBT-20-148585
Behavior Analyst in Oklahoma City, OK. National Provider Identifier 1740876416, active.
NPI record
| NPI | 1740876416 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 13905 Technology Dr # A1, Oklahoma City, OK 73134 |
| Practice phone | 405-389-4530 |
| Mailing address | 14900 N Pennsylvania Ave Apt 1934, Oklahoma City, OK 73134 |
| Enumerated | December 17, 2020 |
| Last updated | December 17, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.