DICARLO VENEGAS (NPI# 1306379557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306379557 |
| Entity Type | Individual |
| Full Name | DICARLO VENEGAS |
| Practice Address |
716 Wood Hollow Ln Moore OK 73160 |
| Mailing Address |
716 Wood Hollow Ln Moore OK 73160-6029 |
| Practice Telephone | 5623315206 |
| Mailing Telephone | 5623315206 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
716 WOOD HOLLOW LN |
| City | MOORE |
| State | OK |
| Zip Code | 73160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| 1962882373 | Brian Michael Wilson | Dentist | 2709 S. I-35 Frontage Road Suite B, Moore, OK 73160 | 2015-06-02 |
| Find all providers in zip 73160 | ||||
| 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 |
|---|---|---|---|---|
| 1114549136 | Morgan Blair Cunningham | Behavior Technician | 806 Sw 36th St, Moore, OK 73160-7688 | 2020-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780792 | Baylee Marie Hicks | Behavior Technician | 4515 E 91st St # 201, Tulsa, OK 74137-2810 | 2020-11-05 |
| 1023617818 | Leo Gross IIi | Behavior Technician | 5597 Nw 50th St Apt 5597b, Warr Acres, OK 73122-5232 | 2020-10-22 |
| 1366059909 | Richard Williams | Behavior Technician | 1121 S. Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-28 |
| 1366052896 | Trayea Lindemann | Behavior Technician | 6020 Nw 23rd St Apt 7, Oklahoma City, OK 73127-1205 | 2020-08-10 |
| 1376152116 | Faris Roberts | Behavior Technician | 8336 S 77th East Ave Apt 1219, Tulsa, OK 74133-3931 | 2020-07-28 |
| 1255940383 | Avery Dawn Batchelor | Behavior Technician | 2240 36th Ave Nw Unit 100, Norman, OK 73072-3251 | 2020-07-24 |
| 1982212494 | Randall Austill | Behavior Technician | 1109 S Walnut St, Stillwater, OK 74074-5235 | 2020-07-21 |
| 1275158008 | Jerlecia Thompson | Behavior Technician | 4599 N Washington St Apt 29e, Stillwater, OK 74075-1346 | 2020-06-08 |
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1073135489 | Brittani Saige Tatum | Behavior Technician | 9704 Kent Dr, Midwest City, OK 73130-6440 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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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.