MISTY DAWN HOFFERBER (NPI# 1487297453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487297453 |
| Entity Type | Individual |
| Full Name | MISTY DAWN HOFFERBER |
| Practice Address |
23 E Ross Ave Sapulpa OK 74066-6423 |
| Practice Telephone | 9182164999 |
| Practice Fax Number | 9182164998 |
| Mailing Telephone | 9182164999 |
| Mailing Fax Number | 9182164998 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
23 E ROSS AVE |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-6423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572091 | Stacy Spears | Nurse Practitioner | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2005-10-19 |
| 1770181356 | Amber Baldwin | Counselor | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-10-15 |
| 1578161881 | Sylvester Harris IIi | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-10-09 |
| 1366055014 | Amanda Williams | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-08-24 |
| 1861003618 | Precious D Miller | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-08-14 |
| 1487263778 | Melinda Vansandt | Registered Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-07-23 |
| 1700404449 | Jeremy John Myers | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-07-09 |
| 1336763945 | Jordan Patty | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-05-31 |
| 1720612799 | Tracy R Smith | Registered Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-27 |
| 1841824364 | Rebecca Gray | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316441033 | Teressa Ann Nevels | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2018-03-19 |
| 1689109514 | Debra Blake | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2017-04-28 |
| 1205361847 | Rhea Smith | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2017-04-20 |
| 1912431214 | Desiree Blake | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2017-04-13 |
| 1992244586 | Wynter Smith | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2017-02-16 |
| 1205374873 | Stacia Simpson | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2017-02-03 |
| 1043754328 | Katrina Lowe | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2016-12-06 |
| 1720521214 | Cassandra King | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2016-12-01 |
| 1093267643 | Joshua Englebright | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2016-10-31 |
| 1497204549 | Krystelle Algeo | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2016-09-30 |
| Find all providers in SAPULPA | ||||
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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.