ROBERT TELFORD BENNETT (NPI# 1740489426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740489426 |
| Entity Type | Individual |
| Full Name | ROBERT TELFORD BENNETT |
| Credential | B.S. |
| Practice Address |
116 E Pierce St Mangum OK 73554-4295 |
| Mailing Address |
3809 Heritage Trl Altus OK 73521-1047 |
| Practice Telephone | 8669266552 |
| Practice Fax Number | 5805474076 |
| Mailing Telephone | 5804810198 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104333863 | Robert Bennett | Nurse Practitioner | 407 Ne Pecos Way, Jensen Beach, FL 34957-6692 | 2018-01-03 |
| 1619214087 | Robert David Bennett | Licensed Practical Nurse | 6162 Hollyberry Ln, Hamilton, OH 45011-5194 | 2013-01-05 |
| 1174892814 | Robert Bennett | Psychologist | 117 Tennessee Ave Ne, Washington, DC 20002-6425 | 2011-12-27 |
| 1760600761 | Robert Bennett | Counselor | 5909 South Santa Fe Drive, Littleton, CO 80120-2910 | 2007-04-23 |
| 1285786525 | Robert Russell Bennett | Chiropractor | 21885 Highway 62, Shady Cove, OR 97539 | 2007-01-17 |
| 1255498218 | Robert L Bennett IIi | Speech-Language Pathologist | 613 Winifred Rd, Leesburg, GA 31763-5342 | 2007-01-02 |
| 1508942491 | Robert C. Bennett | Dentist | 506 Marshall St, Mcmechen, WV 26040-1041 | 2006-10-31 |
| 1518906718 | Robert J Bennett | Counselor | 2020 Greystem Circle, Apt 104, Gurnee, IL 60031-2197 | 2006-06-05 |
| 1518906825 | Robert Daniel Bennett | Surgery | 300 N Highland Ave Ste 315, Sherman, TX 75092-7389 | 2006-06-05 |
| 1942271374 | Robert Campbell Bennett | Pathology | 1044 Belmont Ave., Pathology Consultants-credentialing, Youngstown, OH 44501-1790 | 2006-02-01 |
| Street Address |
116 E PIERCE ST |
| City | MANGUM |
| State | OK |
| Zip Code | 73554-4295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942732516 | Alexis Coreen Davis | Case Manager/Care Coordinator | 116 E Pierce St, Mangum, OK 73554-4295 | 2017-04-01 |
| 1235505215 | Lois Taylor | Behavioral Analyst | 116 E Pierce St, Mangum, OK 73554-4295 | 2015-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845145 | Traci L Carrier | Licensed Practical Nurse | 115 S Lincoln St., Mangum, OK 73554 | 2019-01-30 |
| 1194295741 | Ez Sleep Solutions, Inc. | Dentist | 230 E. Jefferson, Mangum, OK 73554 | 2018-11-27 |
| 1881122976 | Lexie Noel Turner | Case Manager/Care Coordinator | 115 E Lincoln, Mangum, OK 73554 | 2017-06-01 |
| 1740640648 | Yco Tulsa, Inc. | Clinic/Center | 2100 North Louis Tittle, Suites 122-124 and 147-148, Mangum, OK 73554 | 2016-03-04 |
| 1750748984 | Teryl Pearson | Counselor | 2 Wickersham Dr., New Hope Recovery Center, Mangum, OK 73554 | 2016-01-19 |
| 1437525532 | Kiley Reneah Bachelder | Case Manager/Care Coordinator | 2 Wichersham Drive, Mangum, OK 73554 | 2015-08-12 |
| 1376941732 | Dana Juarez | Marriage & Family Therapist | 2100 N Louis Tittle, Mangum, OK 73554 | 2014-12-16 |
| 1033388509 | Blackhawk Mangum, LLC | Clinic/Center | 118 South Louis Tittle, Mangum, OK 73554 | 2008-02-28 |
| 1104008168 | Blackhawk Mangum LLC | Medicare Defined Swing Bed Unit | One Wickersham Drive, Mangum, OK 73554 | 2007-12-03 |
| 1336356500 | Patrecia Ann Fite | Nurse Practitioner | 2100 North Louis Tittle Ave, Box 1, Mangum, OK 73554 | 2007-05-17 |
| Find all providers in zip 73554 | ||||
| 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 |
|---|---|---|---|---|
| 1235505215 | Lois Taylor | Behavioral Analyst | 116 E Pierce St, Mangum, OK 73554-4295 | 2015-08-13 |
| 1598037111 | Wendy E. Lamb | Behavioral Analyst | 125 N Oklahoma Ave, Mangum, OK 73554-4279 | 2012-01-27 |
| 1326350539 | Halla R Powers | Behavioral Analyst | 2 Wickersham St, Mangum, OK 73554-9117 | 2010-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697129 | Aisha Sohail Hasanjee | Behavioral Analyst | 29 Nw 147th St, Edmond, OK 73013-2453 | 2020-10-19 |
| 1497353049 | Angela Christene Wilson | Behavioral Analyst | 2523 E 88th St Apt 315, Tulsa, OK 74137-2423 | 2020-10-15 |
| 1730794264 | Cassidy Myers | Behavioral Analyst | 1121 South Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-11 |
| 1356954721 | Michael R Rife | Behavioral Analyst | 1515 S Madison Ave, Tulsa, OK 74120-6215 | 2020-08-26 |
| 1508486705 | Willow Aba Services LLC | Behavioral Analyst | 401 E Memorial Rd Ste 400, Oklahoma City, OK 73114-2282 | 2020-04-17 |
| 1043847676 | Tatiana A Wilson | Behavioral Analyst | 1313 S Shawnee Ave, Bartlesville, OK 74003-6029 | 2020-03-24 |
| 1588296198 | Lynsey Garrett | Behavioral Analyst | 7306 S Yale Ave, Tulsa, OK 74136-7027 | 2020-02-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.