TRACY KENT ELLIS (NPI# 1982974622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982974622 |
| Entity Type | Individual |
| Full Name | TRACY KENT ELLIS |
| Practice Address |
900 N Broadway St Poteau OK 74953-2617 |
| Mailing Address |
208 N Witte St Poteau OK 74953-3926 |
| Practice Telephone | 9188090112 |
| Mailing Telephone | 9188090112 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273734 | Tracy Ellis | Psychologist | 70 N Main St Ste 104, Bountiful, UT 84010-6115 | 2018-11-09 |
| 1669080180 | Tracy Ellis | Behavior Technician | 8805 W 14th Ave, Suite 100, Lakewood, CO 80215-4848 | 2020-07-21 |
| 1649664442 | Tracy Jo Ellis | Contractor | 157 W Hayden Ave, Hayden Lake, ID 83835-9650 | 2015-03-19 |
| 1962890426 | Tracy Ellis | Specialist/Technologist, Other | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117-7150 | 2015-01-06 |
| 1679895700 | Tracy Ellis | Chiropractor | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2010-02-16 |
| 1326292707 | Tracy Ellis | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2008-11-11 |
| Street Address |
900 N BROADWAY ST |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295909349 | Christian D Heim | Counselor | 900 N Broadway St, Suite 1, Poteau, OK 74953-2617 | 2008-04-19 |
| 1306202643 | Jacob Todd Pennington II | Case Manager/Care Coordinator | 900 N Broadway St, Suite 1, Poteau, OK 74953-2617 | 2015-12-31 |
| 1881026060 | Amanda Bourne | Counselor | 900 N Broadway St, Ste 1, Poteau, OK 74953-2617 | 2013-07-30 |
| 1720330731 | Celia Abernathy | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2012-10-15 |
| 1891044582 | Tyna Lyndelle Martin | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2012-09-10 |
| 1225397284 | Beth Stanford | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2012-05-11 |
| 1942598719 | Lori Deane' Brown | Psychologist | 900 N Broadway St, Poteau, OK 74953-2617 | 2011-07-14 |
| 1538454582 | Joly Dell Kettles | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2011-06-17 |
| 1588953202 | Sandra Kay Lum | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2011-04-04 |
| 1700183829 | Counseling Services of Leflore County | Community/Behavioral Health | 900 N Broadway St, Poteau, OK 74953-2617 | 2011-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| 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 |
|---|---|---|---|---|
| 1598149320 | Frances Richard | Behavioral Analyst | 511 S Harper St, Poteau, OK 74953-4602 | 2015-07-10 |
| 1063824647 | Matt Gentry | Behavioral Analyst | 210 Oak St # 300, Poteau, OK 74953-2339 | 2014-05-29 |
| 1902233182 | Debra Bradberry | Behavioral Analyst | 507 Dewey Ave, Poteau, OK 74953-4215 | 2013-10-02 |
| 1730512492 | Glenda Maye Riggs | Behavioral Analyst | 806 S Church St, Poteau, OK 74953-3816 | 2013-08-16 |
| 1366803918 | Ariel Cardenas | Behavioral Analyst | 502 Dewey Ave, Poteau, OK 74953-4216 | 2016-03-10 |
| 1679955199 | Michele A Graham | Behavioral Analyst | 205 Dewey Ave, Poteau, OK 74953-4224 | 2015-06-20 |
| 1225456270 | Melanie Stogner | Behavioral Analyst | 507 Dewey Ave, Poteau, OK 74953-4215 | 2014-04-06 |
| 1639508583 | Sherry Buzzard | Behavioral Analyst | 2505 N Broadway St, Poteau, OK 74953-2050 | 2013-11-01 |
| 1417251794 | Melissa Sue Caldwell | Behavioral Analyst | 900 N Broadway St, Poteau, OK 74953-2617 | 2010-12-31 |
| 1013219484 | Sandra Lee Cochran | Behavioral Analyst | 900 N Broadway St Ste 1, Poteau, OK 74953-2617 | 2010-11-17 |
| Find all providers in POTEAU | ||||
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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.