MS. CAROL SUE SHORT (NPI# 1154745768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154745768 |
| Entity Type | Individual |
| Full Name | MS. CAROL SUE SHORT |
| Practice Address |
1100 E 14th St Ada OK 74820-6915 |
| Mailing Address |
1301 S Park St Trlr A27 Sapulpa OK 74066-5645 |
| Practice Telephone | 9184265272 |
| Mailing Telephone | 9182279898 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1100 E 14TH ST |
| City | ADA |
| State | OK |
| Zip Code | 74820-6915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932221793 | Jason Lee Prather | Specialist | 1100 E 14th St, Ada, OK 74820-6915 | 2007-04-04 |
| 1023665569 | Lauren Michelle Stafford | Specialist/Technologist | 1100 E 14th St, Ada, OK 74820-6915 | 2019-08-20 |
| 1013492974 | Tamami IIda | Specialist/Technologist | 1100 E 14th St, Ada, OK 74820-6915 | 2018-09-26 |
| 1376038620 | East Central University | Orthopaedic Surgery | 1100 E 14th St, Ada, OK 74820-6915 | 2018-06-28 |
| 1184117582 | Kyle Kingrey | Specialist/Technologist | 1100 E 14th St, Ada, OK 74820-6915 | 2018-06-11 |
| 1972096360 | Emma Elizabeth Rolin | Specialist/Technologist | 1100 E 14th St, Ada, OK 74820-6915 | 2018-06-11 |
| 1336685726 | Riley Rush | Specialist/Technologist | 1100 E 14th St, Ada, OK 74820-6915 | 2017-01-10 |
| 1801256698 | Manuel David Pena Rosales | Specialist/Technologist | 1100 E 14th St, Pmb 4503, Ada, OK 74820-6915 | 2016-03-07 |
| 1346682424 | Danielle Elizabeth Mcdaris | Student in an Organized Health Care Education/Training Program | 1100 E 14th St, Ada, OK 74820-6915 | 2013-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 1417461369 | Misty Dawn Rose | Behavioral Analyst | 720 Orchard St, Ada, OK 74820-2420 | 2017-11-29 |
| 1669917183 | Sarah Ruth Whipkey | Behavioral Analyst | 17467 County Road 1510, Ada, OK 74820 | 2016-12-20 |
| 1730536541 | William Donald Kirkpatrick | Behavioral Analyst | 921 E 14th St, Ada, OK 74820-6817 | 2016-05-22 |
| 1124442561 | Charlotte Ann Willis | Behavioral Analyst | 2201 E Surrey Ln, Ada, OK 74820-2868 | 2014-02-05 |
| 1215274956 | Todd Strong | Behavioral Analyst | 5832 Highbury Dr Se, Ada, MI 49301-7730 | 2013-01-15 |
| 1629340146 | Xerxes Xylon Griffin | Behavioral Analyst | 803 E 14th St, Ada, OK 74820-6815 | 2012-01-30 |
| 1588941678 | Susan Alice Christy | Behavioral Analyst | 1021 S High School St, Ada, OK 74820-8231 | 2011-11-03 |
| 1073962080 | Mark Kirkpatrick Jr. | Behavioral Analyst | 921 E 14th St, Ada, OK 74820 | 2016-06-09 |
| 1093134660 | Casey Morgan | Behavioral Analyst | 2121 E 11th St, Ada, OK 74820-7008 | 2014-04-10 |
| 1467880633 | Sonya J Herrod | Behavioral Analyst | 111 E 12th St, Ada, OK 74820-6501 | 2013-10-24 |
| Find all providers in ADA | ||||
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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.