KOURTNI REYNOLDS (NPI# 1124635255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124635255 |
| Entity Type | Individual |
| Full Name | KOURTNI REYNOLDS |
| Credential | RBT |
| Practice Address |
1212 S Air Depot Blvd Ste 17 Oklahoma City OK 73110-4860 |
| Practice Telephone | 4054556868 |
| Mailing Telephone | 4054556868 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-130076 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1212 S AIR DEPOT BLVD STE 17 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73110-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705946 | Mackenzie Wenzel | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Oklahoma City, OK 73110-4860 | 2020-09-23 |
| 1558979724 | Abigail Zegers | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Oklahoma City, OK 73110-4860 | 2020-07-14 |
| 1730616236 | Audrey Anne Rosenblatt | Psychologist | 1212 S Air Depot Blvd Ste 17, Oklahoma City, OK 73110-4860 | 2017-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| 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 | 73110 |
Please comment or provide details below to improve the information on KOURTNI REYNOLDS.
| 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.