MISS DACIA LANORA WALLACE


Address: 102 N Denver Ave, Tulsa, OK 74103-1806
Phone: 9185821200

MISS DACIA LANORA WALLACE (NPI# 1306188990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306188990
Entity Type Individual
Full Name MISS DACIA LANORA WALLACE
Practice Address 102 N Denver Ave
Tulsa
OK 74103-1806
Mailing Address 650 S Peoria Ave
Tulsa
OK 74120-4429
Practice Telephone 9185821200
Practice Fax Number 9185601399
Mailing Telephone 9185879471
Mailing Fax Number 9185601399
Enumeration Date 2013-03-21
Last Update Date 2013-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 102 N DENVER AVE
City TULSA
State OK
Zip Code 74103-1806

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215922844 Morton Comprehensive Health Services, Inc Clinic/Center 102 N Denver Ave, Tulsa, OK 74103-1820 2005-09-20
1861038390 Allisyn Kelsey Case Manager/Care Coordinator 102 N Denver Ave, Tulsa, OK 74103-1806 2019-11-19
1487211306 Garrett Andrew Russell Case Manager/Care Coordinator 102 N Denver Ave, Tulsa, OK 74103-1806 2019-05-27
1740762566 Anita Oleen Roberts Case Manager/Care Coordinator 102 N Denver Ave, Tulsa, OK 74103-1806 2018-08-29
1649756230 Mackenzie Lea Farley Counselor 102 N Denver Ave, Tulsa, OK 74103-1806 2018-07-17
1447740410 Kimberly Dawn Breeden Case Manager/Care Coordinator 102 N Denver Ave, Tulsa, OK 74103-1806 2018-05-15
1942705355 William Lee Brown Case Manager/Care Coordinator 102 N Denver Ave, Tulsa, OK 74103-1806 2018-03-27
1558891259 Pao Xiong Case Manager/Care Coordinator 102 N Denver Ave, Tulsa, OK 74103-1806 2017-06-14
1750813093 Lasheika Tippett Social Worker 102 N Denver Ave, Tulsa, OK 74103-1806 2017-03-28
1609312602 Jazz'lynn Durant Case Manager/Care Coordinator 102 N Denver Ave, Tulsa, OK 74103-1806 2017-01-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497392476 Polly Gretchen Robinson Pharmacist W 2nd St., Suite 100, Communitycare, Tulsa, OK 74103 2019-12-09
1639588387 J.a.m.e.s. Incorporation Community/Behavioral Health 401 South Bostone Ave, 500-27, Tulsa, OK 74103 2014-08-07
1609205509 Wynetta Littles Behavioral Analyst 401 S Boston Suite 400, Tulsa, OK 74103 2013-11-01
1013260512 Courtney Lynn Warren Nurse Practitioner 300 N Denver Ave, Tulsa, OK 74103 2012-10-22
1992848618 Carolyn Clarke Simpson Counselor 102 N. Denver, Tulsa, OK 74103 2007-02-14
1801826045 Loretta A Farrell Family Medicine 100 West Fifth Street, Ll1020, Tulsa, OK 74103 2006-07-04
1306222104 Cori Bryson Case Manager/Care Coordinator 102 N Denver, Tulsa, OK 74103 2015-08-04
1033469465 Michael Stephen Lewis Behavioral Analyst 102 N Denver, Tulsa, OK 74103 2012-09-13
1346383874 Lauren Marie Hereford Case Manager/Care Coordinator 102 N Denver, Tulsa, OK 74103 2007-02-15
1578106837 Damien Williams Case Manager/Care Coordinator 300 N Denver Ave, David L. Moss Criminal Justice Center, Tulsa, OK 74103-1420 2019-10-18
Find all providers in zip 74103

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497353049 Angela Christene Wilson Behavioral Analyst 2523 E 88th St Apt 315, Tulsa, OK 74137-2423 2020-10-15
1356954721 Michael R Rife Behavioral Analyst 1515 S Madison Ave, Tulsa, OK 74120-6215 2020-08-26
1588296198 Lynsey Garrett Behavioral Analyst 7306 S Yale Ave, Tulsa, OK 74136-7027 2020-02-11
1578059259 Tiffany Lacy David Behavioral Analyst 7170 S Braden Ave Ste 195, Tulsa, OK 74136-6324 2018-07-06
1811489065 Taylor Diane Spears Behavioral Analyst 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 2018-06-04
1700388899 Alexis James Rittenhouse Behavioral Analyst 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 2018-03-05
1053828970 Amy Kay Rosa Behavioral Analyst 7107 S Yale Ave # 161, Tulsa, OK 74136-6308 2017-12-30
1225571367 Jennifer Brummert Behavioral Analyst 7509 S 95th East Ave, Tulsa, OK 74133-5273 2016-11-21
1366802324 Thomas Boxley Behavioral Analyst 2222 W Newton St, Tulsa, OK 74127-3016 2016-03-03
1003274333 Delores Warrior-webb Behavioral Analyst 2518 E 88th St, Apt 8, Tulsa, OK 74137-2427 2016-02-01
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Competitor

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City TULSA
Zip Code 74103

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Dataset Information

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.

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