AUDREY ELIZABETH HENDRICKS (NPI# 1952885055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952885055 |
| Entity Type | Individual |
| Full Name | AUDREY ELIZABETH HENDRICKS |
| Practice Address |
6501 Broadway Ext Oklahoma City OK 73116-8239 |
| Mailing Address |
27777 Inkster Rd Farmington Hills MI 48334-5326 |
| Practice Telephone | 4053885055 |
| Mailing Telephone | 2484364400 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467945279 | Audrey Hendricks | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2018-06-07 |
| Street Address |
6501 BROADWAY EXT |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-8239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972855310 | Angela Gray | Counselor | 6501 Broadway Ext, Suite 180, Oklahoma City, OK 73116-8239 | 2012-10-09 |
| 1164904280 | Jessica D'ann Shamblin | Case Manager/Care Coordinator | 6501 Broadway Ext, Oklahoma City, OK 73116-8239 | 2018-09-05 |
| 1942745617 | Rhonda Golson | Case Manager/Care Coordinator | 6501 Broadway Ext, Suite 180, Oklahoma City, OK 73116-8239 | 2017-01-04 |
| 1477923068 | Scarlett Novak | Counselor | 6501 Broadway Ext, Suite 180, Oklahoma City, OK 73116-8239 | 2015-09-25 |
| 1548638984 | Elizabeth Ann Thornton Martinez | Counselor | 6501 Broadway Ext, Suite 180, Oklahoma City, OK 73116-8239 | 2015-09-02 |
| 1538535174 | Tracy Myrick | Counselor | 6501 Broadway Ext, Suite 180, Oklahoma City, OK 73116-8239 | 2015-08-18 |
| 1134503154 | Lindsay Lebeau | Counselor | 6501 Broadway Ext, Suite 180, Oklahoma City, OK 73116-8239 | 2015-07-20 |
| 1053704775 | Justus Davenport | Counselor | 6501 Broadway Ext, Suite 180, Oklahoma City, OK 73116-8239 | 2015-03-05 |
| 1740671718 | Destiny Terry | Case Manager/Care Coordinator | 6501 Broadway Ext, Suite 180, Oklahoma City, OK 73116-8239 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| 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 |
|---|---|---|---|---|
| 1366052896 | Trayea Lindemann | Behavior Technician | 6020 Nw 23rd St Apt 7, Oklahoma City, OK 73127-1205 | 2020-08-10 |
| 1417579814 | Matthew Douglas Parker | Behavior Technician | 13905 Technology Dr, Oklahoma City, OK 73134-1054 | 2020-05-08 |
| 1861014185 | Mallory Nicole Fletcher | Behavior Technician | 13905 Technology Dr # A1, Oklahoma City, OK 73134-1054 | 2020-05-08 |
| 1043832363 | Calli Nicole Sullins | Behavior Technician | 13905 Technology Dr Ste A1, Oklahoma City, OK 73134-1054 | 2020-05-08 |
| 1639705056 | Erica Pepper | Behavior Technician | 5100 N Brookline Ave Ste 525, Oklahoma City, OK 73112-3627 | 2020-03-17 |
| 1235765959 | Cullen Crawford | Behavior Technician | 4704 Nw 40th, Oklahoma City, OK 73122 | 2020-03-13 |
| 1730727033 | Gabriela Escobar | Behavior Technician | 2700 S Shartel Ave, Oklahoma City, OK 73109-2234 | 2019-12-17 |
| 1669018966 | Katie May Britt | Behavior Technician | 1012 Nw Grand Blvd, Oklahoma City, OK 73118-6000 | 2019-11-21 |
| 1821553223 | Rodney Daniels Jr. | Behavior Technician | 1411 Ne 37th St, Oklahoma City, OK 73111-5015 | 2019-02-10 |
| 1689180077 | Bailey Grogg | Behavior Technician | 401 E Memorial Rd Ste 700, Oklahoma City, OK 73114-2287 | 2017-12-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on AUDREY ELIZABETH HENDRICKS.
| 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.