JACQUITH FARRIS (NPI# 1750778338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750778338 |
| Entity Type | Individual |
| Full Name | JACQUITH FARRIS |
| Practice Address |
2625 General Pershing Blvd Oklahoma City OK 73107-6437 |
| Practice Telephone | 4059456210 |
| Practice Fax Number | 4059422303 |
| Mailing Telephone | 4059456210 |
| Mailing Fax Number | 4059422303 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2625 GENERAL PERSHING BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73107-6437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114185659 | Olesia Nikolyevna Grellner | Nurse Practitioner | 2625 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2008-05-31 |
| 1568079176 | Conner Nichols | Case Manager/Care Coordinator | 2625 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-09-28 |
| 1609433556 | Sara Carman Campbell | Peer Specialist | 2625 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2019-05-28 |
| 1982172318 | Ashley E Stephens | Peer Specialist | 2625 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2018-11-03 |
| 1225516586 | Stephanie Sneed | Case Manager/Care Coordinator | 2625 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2018-07-30 |
| 1427540053 | Ashley Michelle Brittain | Peer Specialist | 2625 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2018-05-30 |
| 1972044816 | Dylan Tyler Way | Peer Specialist | 2625 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2017-03-11 |
| 1073974432 | Sharon Johnson | Case Manager/Care Coordinator | 2625 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2016-03-14 |
| 1831587203 | Charity Pendley | Counselor | 2625 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2015-01-07 |
| 1154729564 | Vida Price | Counselor | 2625 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2014-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747999 | Ellen Rose Pochyly | Counselor | 2617 General Pershing Boulevard, Oklahoma City, OK 73107 | 2017-08-23 |
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1821511320 | Diana Lynn Spencer | Counselor | 2617generalpershingblvd, Oklahoma City, OK 73107 | 2017-07-18 |
| 1861859514 | Catherine Evans | Counselor | 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 | 2016-01-26 |
| 1871964551 | Kizzy Frazier | Student in an Organized Health Care Education/Training Program | 1233 N Warren Pl, Oklahoma City, OK 73107 | 2015-10-07 |
| 1538550629 | Oklahoma Department of Mental Health and Substance Abuse | Case Management | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-02-10 |
| 1952702276 | Andale Healthcare, LLC | Clinic/Center | 2305 N. Meridian, Oklahoma City, OK 73107 | 2014-09-05 |
| 1114339348 | John Walls | Psychologist | 2012 North Villa Avenue, Oklahoma City, OK 73107 | 2014-05-22 |
| 1376970517 | Latrice Warrior | Community/Behavioral Health | 2625 General Pershing Drive, Oklahoma City, OK 73107 | 2013-10-02 |
| 1326485541 | Debra Sue Vaughan | Counselor | 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 | 2013-05-29 |
| Find all providers in zip 73107 | ||||
| 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 |
| 1730692906 | Red River Behavioral Specialists LLC | Behavioral Analyst | 5737 Nw 132nd St, Oklahoma City, OK 73142-4437 | 2017-11-09 |
| 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 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73107 |
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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.