RED RIVER BEHAVIORAL SPECIALISTS LLC (NPI# 1730692906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730692906 |
| Entity Type | Organization |
| Organization Name | RED RIVER BEHAVIORAL SPECIALISTS LLC |
| Practice Address |
5737 Nw 132nd St Oklahoma City OK 73142-4437 |
| Mailing Address |
Po Box 720070 Oklahoma City OK 73172-0070 |
| Practice Telephone | 6617148068 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |
| Authorized Official Name | DR. SEAN PATRICK PETERSON (OWNER) |
| Authorized Official Telephone | 6617148068 |
| Authorized Official Credential | PHD, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-13-15033 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | LBA | 1-13-15033 | 01 |
| Street Address |
5737 NW 132ND ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| Find all providers in zip 73142 | ||||
| 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 |
|---|---|---|---|---|
| 1508486705 | Willow Aba Services LLC | Behavioral Analyst | 401 E Memorial Rd Ste 400, Oklahoma City, OK 73114-2282 | 2020-04-17 |
| 1598306219 | Maria Karina Guzman | Behavioral Analyst | 4305 Nw 60th St, Oklahoma City, OK 73112-1318 | 2019-10-03 |
| 1679129803 | Tammie Lyn Phillips | Behavioral Analyst | 6700 W Memorial Rd Apt 421, Oklahoma City, OK 73142-6406 | 2019-08-13 |
| 1447803275 | Advanced Behavioral Solutions, LLC | Behavioral Analyst | 5100 N Brookline Ave Ste 380, Oklahoma City, OK 73112-3633 | 2019-07-21 |
| 1356803613 | Positive Strategies of Oklahoma | Behavioral Analyst | 6815 Se 160th St, Oklahoma City, OK 73165-7668 | 2019-04-04 |
| 1043750755 | Nikki Jo Rios | Behavioral Analyst | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2017-02-28 |
| 1578013959 | Deborah Finley | Behavioral Analyst | 1434 Nw 44th St, Oklahoma City, OK 73118-5002 | 2016-10-10 |
| 1215485255 | Stephanie Chilvers | Behavioral Analyst | 7611 Nw 107th St, Oklahoma City, OK 73162-4316 | 2016-09-20 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1548613425 | Raphael Bonelle | Behavioral Analyst | 12000 N Virginia Ave, Oklahoma City, OK 73120-7581 | 2016-07-15 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
Please comment or provide details below to improve the information on RED RIVER BEHAVIORAL SPECIALISTS LLC.
| 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.