MISS DACIA LANORA WALLACE (NPI# 1306188990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306188990 |
Entity Type | Individual |
Full Name | MISS DACIA LANORA WALLACE |
Practice Address |
102 N Denver Ave Tulsa OK 74103-1806 |
Mailing Address |
650 S Peoria Ave Tulsa OK 74120-4429 |
Practice Telephone | 9185821200 |
Practice Fax Number | 9185601399 |
Mailing Telephone | 9185879471 |
Mailing Fax Number | 9185601399 |
Enumeration Date | 2013-03-21 |
Last Update Date | 2013-03-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
Street Address |
102 N DENVER AVE |
City | TULSA |
State | OK |
Zip Code | 74103-1806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215922844 | Morton Comprehensive Health Services, Inc | Clinic/Center | 102 N Denver Ave, Tulsa, OK 74103-1820 | 2005-09-20 |
1861038390 | Allisyn Kelsey | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2019-11-19 |
1487211306 | Garrett Andrew Russell | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2019-05-27 |
1740762566 | Anita Oleen Roberts | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-08-29 |
1649756230 | Mackenzie Lea Farley | Counselor | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-07-17 |
1447740410 | Kimberly Dawn Breeden | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-05-15 |
1942705355 | William Lee Brown | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-03-27 |
1558891259 | Pao Xiong | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2017-06-14 |
1750813093 | Lasheika Tippett | Social Worker | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2017-03-28 |
1609312602 | Jazz'lynn Durant | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2017-01-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497392476 | Polly Gretchen Robinson | Pharmacist | W 2nd St., Suite 100, Communitycare, Tulsa, OK 74103 | 2019-12-09 |
1639588387 | J.a.m.e.s. Incorporation | Community/Behavioral Health | 401 South Bostone Ave, 500-27, Tulsa, OK 74103 | 2014-08-07 |
1609205509 | Wynetta Littles | Behavioral Analyst | 401 S Boston Suite 400, Tulsa, OK 74103 | 2013-11-01 |
1013260512 | Courtney Lynn Warren | Nurse Practitioner | 300 N Denver Ave, Tulsa, OK 74103 | 2012-10-22 |
1992848618 | Carolyn Clarke Simpson | Counselor | 102 N. Denver, Tulsa, OK 74103 | 2007-02-14 |
1801826045 | Loretta A Farrell | Family Medicine | 100 West Fifth Street, Ll1020, Tulsa, OK 74103 | 2006-07-04 |
1306222104 | Cori Bryson | Case Manager/Care Coordinator | 102 N Denver, Tulsa, OK 74103 | 2015-08-04 |
1033469465 | Michael Stephen Lewis | Behavioral Analyst | 102 N Denver, Tulsa, OK 74103 | 2012-09-13 |
1346383874 | Lauren Marie Hereford | Case Manager/Care Coordinator | 102 N Denver, Tulsa, OK 74103 | 2007-02-15 |
1578106837 | Damien Williams | Case Manager/Care Coordinator | 300 N Denver Ave, David L. Moss Criminal Justice Center, Tulsa, OK 74103-1420 | 2019-10-18 |
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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 |
---|---|---|---|---|
1497353049 | Angela Christene Wilson | Behavioral Analyst | 2523 E 88th St Apt 315, Tulsa, OK 74137-2423 | 2020-10-15 |
1356954721 | Michael R Rife | Behavioral Analyst | 1515 S Madison Ave, Tulsa, OK 74120-6215 | 2020-08-26 |
1588296198 | Lynsey Garrett | Behavioral Analyst | 7306 S Yale Ave, Tulsa, OK 74136-7027 | 2020-02-11 |
1578059259 | Tiffany Lacy David | Behavioral Analyst | 7170 S Braden Ave Ste 195, Tulsa, OK 74136-6324 | 2018-07-06 |
1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
1700388899 | Alexis James Rittenhouse | Behavioral Analyst | 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 | 2018-03-05 |
1053828970 | Amy Kay Rosa | Behavioral Analyst | 7107 S Yale Ave # 161, Tulsa, OK 74136-6308 | 2017-12-30 |
1225571367 | Jennifer Brummert | Behavioral Analyst | 7509 S 95th East Ave, Tulsa, OK 74133-5273 | 2016-11-21 |
1366802324 | Thomas Boxley | Behavioral Analyst | 2222 W Newton St, Tulsa, OK 74127-3016 | 2016-03-03 |
1003274333 | Delores Warrior-webb | Behavioral Analyst | 2518 E 88th St, Apt 8, Tulsa, OK 74137-2427 | 2016-02-01 |
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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.