MR. ELBERT JERRY GIBSON


Address: 301 Nw 63rd St, Oklahoma City, OK 73116-7907
Phone: 4058482171

MR. ELBERT JERRY GIBSON (NPI# 1710262258) 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) 1710262258
Entity Type Individual
Full Name MR. ELBERT JERRY GIBSON
Credential BHRS
Practice Address 301 Nw 63rd St
Oklahoma City
OK 73116-7907
Practice Telephone 4058482171
Practice Fax Number 4058482078
Mailing Telephone 4058482171
Mailing Fax Number 4058482078
Enumeration Date 2011-10-17
Last Update Date 2011-10-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 301 NW 63RD ST
City OKLAHOMA CITY
State OK
Zip Code 73116-7907

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417095688 Susan E Lawrence Counselor 301 Nw 63rd St, Suite 600, Oklahoma City, OK 73116-7907 2007-02-01
1851662860 Randall Austin Phillips Jr. Social Worker 301 Nw 63rd St, Suite 301, Oklahoma City, OK 73116-7907 2012-01-23
1699045054 Shamekka Marion-johns Case Manager/Care Coordinator 301 Nw 63rd St, 600, Oklahoma City, OK 73116-7907 2012-01-03
1508136813 Gina Denai Helms Case Manager/Care Coordinator 301 Nw 63rd St, Oklahoma City, OK 73116-7907 2012-01-03
1871860098 Corey James Davidson Case Manager/Care Coordinator 301 Nw 63rd St, Suite 600, Oklahoma City, OK 73116-7907 2011-11-17
1104104017 Tamara Gilkey Case Manager/Care Coordinator 301 Nw 63rd St, Suite 301, Oklahoma City, OK 73116-7907 2011-07-26
1851687875 Brandon Atkinson Social Worker 301 Nw 63rd St, Oklahoma City, OK 73116-7907 2011-06-28
1043502834 Emily Hollon Social Worker 301 Nw 63rd St, Suite 140, Oklahoma City, OK 73116-7907 2011-05-11
1083905418 Rita Williams Case Manager/Care Coordinator 301 Nw 63rd St, Suite 140, Oklahoma City, OK 73116-7907 2011-04-19
1669777421 Kwame Wiafe Case Manager/Care Coordinator 301 Nw 63rd St, Oklahoma City, OK 73116-7907 2011-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306455068 Restore Family Counseling, LLC Clinic/Center 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 2020-07-29
1861058877 Dental Depot of 63rd & Nw Expressway, Pllc Clinic/Center 4025 Nw 63rd Street, Oklahoma City, OK 73116 2019-05-15
1073001756 Oklahoma Clinical Management LLC Prevention Professional 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 2018-04-27
1235658261 Heinen Physical Therapy, PC Clinic/Center 7710 N May Ave, Oklahoma City, OK 73116 2017-09-11
1235657842 Jacque S Komers Counselor 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 2017-09-04
1164943874 Jo Ann Cole-johnson Counselor 6505 N. Shawnee Ave, Oklahoma, OK 73116 2017-07-03
1548790793 Zachary Wayne Skates Case Manager/Care Coordinator North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 2017-06-19
1548622673 Jessica Defiore Case Manager/Care Coordinator 6501 N Broadway Extension, Oklahoma City, OK 73116 2016-03-28
1093173247 Patrice Ann Cook Specialist/Technologist, Other 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 2016-02-03
1467880708 Abrina Marie Kneeland Occupational Therapy Assistant 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 2013-10-24
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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
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
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Competitor

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City OKLAHOMA CITY
Zip Code 73116

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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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