MACKENZIE JO MARRS (NPI# 1619576261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619576261 |
| Entity Type | Individual |
| Full Name | MACKENZIE JO MARRS |
| Practice Address |
308 N Aspen Ave Broken Arrow OK 74012-2205 |
| Mailing Address |
5328 E 81st St Apt 1035 Tulsa OK 74137-2252 |
| Practice Telephone | 5397770940 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| 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 |
308 N ASPEN AVE |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278616 | Sara Martin | Behavioral Analyst | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2019-04-10 |
| 1255938544 | Shaina Jemmott | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-10-08 |
| 1982217162 | Heidi Avery | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-08-26 |
| 1417567868 | Daniel Weeks | Behavioral Analyst | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-31 |
| 1316556509 | Quinton James Allen Goodson | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-24 |
| 1538777842 | Elizabeth Douglas Solnok | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-22 |
| 1760090484 | Samantha Mishelle Van Meter | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-20 |
| 1669080297 | Amanda Lyn Couch | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-20 |
| 1063020790 | Lizvette Sanchez | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-20 |
| 1548878259 | Tyler Laney Brown | Assistant Behavior Analyst | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| 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 |
|---|---|---|---|---|
| 1275178162 | Julia Wray | Behavior Technician | 25983 Lariat Cir, Broken Arrow, OK 74014-2722 | 2019-11-14 |
| 1699216929 | Kristen Leeann Litteer | Behavior Technician | 2404 W Vicksburg St, Broken Arrow, OK 74011-1531 | 2017-03-20 |
| 1255938544 | Shaina Jemmott | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-10-08 |
| 1982217162 | Heidi Avery | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-08-26 |
| 1316556509 | Quinton James Allen Goodson | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-24 |
| 1538777842 | Elizabeth Douglas Solnok | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-22 |
| 1760090484 | Samantha Mishelle Van Meter | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-20 |
| 1669080297 | Amanda Lyn Couch | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-20 |
| 1063020790 | Lizvette Sanchez | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-07-20 |
| 1124641915 | Danielle Ann Long | Behavior Technician | 308 N Aspen Ave, Broken Arrow, OK 74012-2205 | 2020-05-27 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.