ANGIE WIESE (NPI# 1194332668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194332668 |
| Entity Type | Individual |
| Full Name | ANGIE WIESE |
| Credential | M.ED, RBT |
| Practice Address |
1012 Nw Grand Blvd Oklahoma City OK 73118-6000 |
| Practice Telephone | 4055948336 |
| Mailing Telephone | 4055948336 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1012 NW GRAND BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018966 | Katie May Britt | Behavior Technician | 1012 Nw Grand Blvd, Oklahoma City, OK 73118-6000 | 2019-11-21 |
| 1104434349 | Karleeann Gray | Behavior Technician | 1012 Nw Grand Blvd, Oklahoma City, OK 73118-6000 | 2020-07-14 |
| 1508489220 | Shannon Leanne Howard | Behavior Technician | 1012 Nw Grand Blvd, Oklahoma City, OK 73118-6000 | 2020-05-28 |
| 1245879568 | Nia Chase | Behavior Technician | 1012 Nw Grand Blvd, Oklahoma City, OK 73118-6000 | 2020-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| 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 | 73118 |
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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.