TINA ELDRIDGE (NPI# 1245688571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245688571 |
| Entity Type | Individual |
| Full Name | TINA ELDRIDGE |
| Practice Address |
13300 E Sandy Creek Rd Coleman OK 73432-8625 |
| Practice Telephone | 5803803798 |
| Practice Fax Number | 5809374615 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
13300 E SANDY CREEK RD |
| City | COLEMAN |
| State | OK |
| Zip Code | 73432-8625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477915114 | Makayla Lawson | Student in an Organized Health Care Education/Training Program | 351 West Main, Coleman, OK 73432 | 2016-03-22 |
| 1346424470 | Coleman Public Schools | Local Education Agency (LEA) | 451 W. Main St., Coleman, OK 73432 | 2007-12-26 |
| 1780130351 | Ginia White | Student in an Organized Health Care Education/Training Program | 451 West Main, Coleman, OK 73432 | 2016-09-01 |
| 1063872232 | Coleman Public School | Local Education Agency (LEA) | 451 West Main, Coleman, OK 73432-0188 | 2016-03-02 |
| 1528402989 | Dede Marann Stephens | Psychologist | 5085 S. Hwy 48, Coleman, OK 73432-0219 | 2013-04-29 |
| 1326331240 | Mykaila Ann Boyett | Case Manager/Care Coordinator | 13370 E Richardson Ln, Coleman, OK 73432-8576 | 2011-05-25 |
| 1811276272 | Emily Diann Paris | Counselor | 12621 E Egypt Rd, Coleman, OK 73432-8616 | 2011-08-16 |
| 1922443654 | Shannon Kaye Owens | Counselor | 10289 S Eli Rd, Coleman, OK 73432-8705 | 2013-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1457965410 | Willow Oak | Counselor | 5363 W Fike Rd, Coleman, MI 48618-8531 | 2020-09-06 |
| 1770194375 | Healthstat Inc Huhtamaki-michigan | Preventive Medicine | 5700 W Shaffer Rd, Coleman, MI 48618-9706 | 2020-08-17 |
| 1891315651 | Brittany Barber | Licensed Practical Nurse | 912 Plum St, Coleman, TX 76834-3218 | 2020-04-22 |
| 1417410630 | True Serenity Home Care | In Home Supportive Care | 223 E Railway St Ste A, Coleman, MI 48618-9696 | 2019-04-14 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1548705882 | Travis Jacob Willard | Technician, Other | 3462 W Curtis Rd, Coleman, MI 48618-8518 | 2016-12-22 |
| 1881138444 | Faith Mclane | Behavior Technician | 3491 W Shaffer Rd, Coleman, MI 48618-9557 | 2016-12-15 |
| 1477915114 | Makayla Lawson | Student in an Organized Health Care Education/Training Program | 351 West Main, Coleman, OK 73432 | 2016-03-22 |
| 1063872232 | Coleman Public School | Local Education Agency (LEA) | 451 West Main, Coleman, OK 73432-0188 | 2016-03-02 |
| Find all providers in COLEMAN | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697129 | Aisha Sohail Hasanjee | Behavioral Analyst | 29 Nw 147th St, Edmond, OK 73013-2453 | 2020-10-19 |
| 1497353049 | Angela Christene Wilson | Behavioral Analyst | 2523 E 88th St Apt 315, Tulsa, OK 74137-2423 | 2020-10-15 |
| 1730794264 | Cassidy Myers | Behavioral Analyst | 1121 South Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-11 |
| 1356954721 | Michael R Rife | Behavioral Analyst | 1515 S Madison Ave, Tulsa, OK 74120-6215 | 2020-08-26 |
| 1508486705 | Willow Aba Services LLC | Behavioral Analyst | 401 E Memorial Rd Ste 400, Oklahoma City, OK 73114-2282 | 2020-04-17 |
| 1043847676 | Tatiana A Wilson | Behavioral Analyst | 1313 S Shawnee Ave, Bartlesville, OK 74003-6029 | 2020-03-24 |
| 1588296198 | Lynsey Garrett | Behavioral Analyst | 7306 S Yale Ave, Tulsa, OK 74136-7027 | 2020-02-11 |
| 1598306219 | Maria Karina Guzman | Behavioral Analyst | 4305 Nw 60th St, Oklahoma City, OK 73112-1318 | 2019-10-03 |
| 1679129803 | Tammie Lyn Phillips | Behavioral Analyst | 6700 W Memorial Rd Apt 421, Oklahoma City, OK 73142-6406 | 2019-08-13 |
| 1447803275 | Advanced Behavioral Solutions, LLC | Behavioral Analyst | 5100 N Brookline Ave Ste 380, Oklahoma City, OK 73112-3633 | 2019-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.