KENNAH ALTEBAUMER (NPI# 1619484755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619484755 |
| Entity Type | Individual |
| Full Name | KENNAH ALTEBAUMER |
| Practice Address |
4636 S Harvard Ave Tulsa OK 74135-2908 |
| Mailing Address |
1508 Larkspur Ct Pryor OK 74361-8209 |
| Practice Telephone | 9183827300 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| 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 |
4636 S HARVARD AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497818926 | Dawn Marie Lafromboise | Psychiatry & Neurology | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2006-12-18 |
| 1518598564 | Andrea Allen | Nurse Practitioner | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2020-01-29 |
| 1104484484 | Sara Moran | Case Manager/Care Coordinator | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2019-06-03 |
| 1699250399 | Morgan Renee Black | Counselor | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2018-09-27 |
| 1538643515 | Fengju Zhang | Counselor | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2018-09-17 |
| 1508349713 | Jessica Burns | Counselor | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2018-09-13 |
| 1225511991 | Connie Byrd | Counselor | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2018-09-10 |
| 1891276879 | Shatia Tinika Stephens | Case Manager/Care Coordinator | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2018-08-27 |
| 1245711563 | Melissa Renee Drennon | Case Manager/Care Coordinator | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2018-08-24 |
| 1861972077 | Stephanie Marie Telles | Case Manager/Care Coordinator | 4636 S Harvard Ave, Tulsa, OK 74135 | 2018-08-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
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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.