MISTY WALLACE (NPI# 1427342856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427342856 |
| Entity Type | Individual |
| Full Name | MISTY WALLACE |
| Practice Address |
3140 W Britton Rd Ste 204 Oklahoma City OK 73120-2074 |
| Mailing Address |
3041 Sw 64th Ter Oklahoma City OK 73159-1317 |
| Practice Telephone | 4056084425 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174761951 | Misty W Wallace | Physical Therapist | 903 W Main St, Yadkinville, NC 27055-7807 | 2009-02-02 |
| Street Address |
3140 W BRITTON RD STE 204 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194847988 | Brenda E. Richardson, Pt | Physical Therapist | 3140 W Britton Rd, Suite B, Oklahoma City, OK 73120-2039 | 2007-04-04 |
| 1447858865 | Richard Alexander Bledsoe | Counselor | 3140 W Britton Rd, Oklahoma City, OK 73120-2074 | 2020-10-16 |
| 1619409455 | Shanae Stoner | Case Manager/Care Coordinator | 3140 W Britton Rd, Oklahoma City, OK 73120-2074 | 2017-03-30 |
| 1750751509 | Lynda Pauwels Osborn | Social Worker | 3140 W Britton Rd, Ste 200, Oklahoma City, OK 73120-2074 | 2015-10-05 |
| 1508246380 | Essential Elements, LLC Dba Gigi Silverhorn, Lpc | Counselor | 3140 W Britton Rd, Suite 200, Oklahoma City, OK 73120-2074 | 2015-06-05 |
| 1891115093 | Mary Jo Standard | Social Worker | 3140 W Britton Rd, Ste 200, Oklahoma City, OK 73120-2074 | 2014-04-26 |
| 1023451572 | Tammi Elaine Young | Counselor | 3140 W Britton Rd, Suite 200, Oklahoma City, OK 73120-2074 | 2013-04-15 |
| 1831488436 | Making An Impact Counseling Services | Case Management | 3140 W Britton Rd, Suite 204, Oklahoma City, OK 73120-2074 | 2011-04-04 |
| 1639468218 | Ann C Campbell | Counselor | 3140 W Britton Rd, Oklahoma City, OK 73120-2074 | 2011-04-04 |
| 1295047157 | Christa Brown | Counselor | 3140 W Britton Rd, Suite #200, Oklahoma City, OK 73120-2074 | 2010-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| 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 |
|---|---|---|---|---|
| 1508486705 | Willow Aba Services LLC | Behavioral Analyst | 401 E Memorial Rd Ste 400, Oklahoma City, OK 73114-2282 | 2020-04-17 |
| 1598306219 | Maria Karina Guzman | Behavioral Analyst | 4305 Nw 60th St, Oklahoma City, OK 73112-1318 | 2019-10-03 |
| 1679129803 | Tammie Lyn Phillips | Behavioral Analyst | 6700 W Memorial Rd Apt 421, Oklahoma City, OK 73142-6406 | 2019-08-13 |
| 1447803275 | Advanced Behavioral Solutions, LLC | Behavioral Analyst | 5100 N Brookline Ave Ste 380, Oklahoma City, OK 73112-3633 | 2019-07-21 |
| 1356803613 | Positive Strategies of Oklahoma | Behavioral Analyst | 6815 Se 160th St, Oklahoma City, OK 73165-7668 | 2019-04-04 |
| 1730692906 | Red River Behavioral Specialists LLC | Behavioral Analyst | 5737 Nw 132nd St, Oklahoma City, OK 73142-4437 | 2017-11-09 |
| 1043750755 | Nikki Jo Rios | Behavioral Analyst | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2017-02-28 |
| 1578013959 | Deborah Finley | Behavioral Analyst | 1434 Nw 44th St, Oklahoma City, OK 73118-5002 | 2016-10-10 |
| 1215485255 | Stephanie Chilvers | Behavioral Analyst | 7611 Nw 107th St, Oklahoma City, OK 73162-4316 | 2016-09-20 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.