COREY HOLMAN (NPI# 1720524226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720524226 |
| Entity Type | Individual |
| Full Name | COREY HOLMAN |
| Practice Address |
15500 Jeffersons Garden Ct Edmond OK 73013-1410 |
| Practice Telephone | 4053308200 |
| Practice Fax Number | 4053308209 |
| Mailing Telephone | 4053308200 |
| Mailing Fax Number | 4053308209 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
15500 JEFFERSONS GARDEN CT |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992753834 | Tsg Physical Therapy, LLC | Physical Medicine & Rehabilitation | 15500 Jeffersons Garden Ct, Edmond, OK 73013-1410 | 2006-05-04 |
| 1528618717 | Tanisha Nacole Reed | Case Manager/Care Coordinator | 15500 Jeffersons Garden Ct, Edmond, OK 73013-1410 | 2019-09-19 |
| 1598249872 | Ashton Pierre Davis | Case Manager/Care Coordinator | 15500 Jeffersons Garden Ct, Edmond, OK 73013-1410 | 2018-09-21 |
| 1528542081 | Joycealyn Kaye Jackson | Case Manager/Care Coordinator | 15500 Jeffersons Garden Ct, Edmond, OK 73013-1410 | 2018-09-20 |
| 1518335991 | Mandy Thompson | Counselor | 15500 Jeffersons Garden Ct, Edmond, OK 73013-1410 | 2015-09-02 |
| 1568839918 | Shawn Sikes | Counselor | 15500 Jeffersons Garden Ct, Edmond, OK 73013-1410 | 2015-09-01 |
| 1972986834 | Ashley Valentas | Counselor | 15500 Jeffersons Garden Ct, Edmond, OK 73013-1410 | 2015-07-09 |
| 1225423049 | Kara Smith | Counselor | 15500 Jeffersons Garden Ct, Edmond, OK 73013-1410 | 2015-03-30 |
| 1548650583 | Samantha Dale | Counselor | 15500 Jeffersons Garden Ct, Edmond, OK 73013-1410 | 2015-01-29 |
| 1174891667 | Elizabeth Ellen Bevers | Counselor | 15500 Jeffersons Garden Ct, Edmond, OK 73013-1410 | 2011-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| 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 |
|---|---|---|---|---|
| 1295361996 | Bridget Rae Twedt | Behavior Technician | 1730 E 2nd St Apt 213, Edmond, OK 73034-6304 | 2020-03-14 |
| 1417508029 | Devon E Williams | Behavior Technician | 2409 Nw 163rd St, Edmond, OK 73013-1264 | 2019-09-25 |
| 1518523745 | Aba Coop | Behavior Technician | 409 S Fretz Ave Ste D, Edmond, OK 73003-5570 | 2019-05-13 |
| 1750873394 | Erin Healey | Behavior Technician | 425 S Fretz Ave Ste B, Edmond, OK 73003-5568 | 2018-05-30 |
| 1215538418 | Madison Sturgis | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-11-04 |
| 1871193383 | Christine Malina Stephenson | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-10-26 |
| 1568061943 | Justin Stewart | Behavior Technician | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2020-10-18 |
| 1003415480 | Zach Teague | Behavior Technician | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2020-10-18 |
| 1558960930 | Aidan Lozano | Behavior Technician | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2020-10-18 |
| 1912504465 | Amber Willett | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-10-07 |
| Find all providers in EDMOND | ||||
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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.