KENNEDY COOK (NPI# 1750993721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750993721 |
| Entity Type | Individual |
| Full Name | KENNEDY COOK |
| Credential | RBT |
| Practice Address |
3005 Sw Park Ave Lawton OK 73505-7902 |
| Practice Telephone | 5806995558 |
| Practice Fax Number | 5806995559 |
| Mailing Telephone | 5806995558 |
| Mailing Fax Number | 5806995559 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-107937 | OK | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4084 Regent Dr, Wichita Falls, TX 763081508 | 9402285297 | 9405004025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713391 | Kennedy Cook | Speech-Language Pathologist | 5304 W Crocus Dr, Glendale, AZ 85306-4318 | 2019-07-30 |
| Street Address |
3005 SW PARK AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-7902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184156549 | Emily Danielle Redding | Behavioral Analyst | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2017-04-03 |
| 1780282426 | Rylee Willmon | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-10-14 |
| 1194330191 | Sarah N Slaybaugh-martinez | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-09-15 |
| 1184236150 | Natalie Jones | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| 1083226054 | Dominick Haber | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| 1275145260 | Caroline Shell | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| 1336751320 | Jesslyan Marie Ortiz-albino | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| 1164034179 | Alana Brown | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| 1609488618 | Erika Isaacson | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| 1679185672 | Shayla Ebisch-beavers | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1609434372 | Dorothy Marshall | Behavior Technician | 4222 Nw Lindy Ave, Lawton, OK 73505-1758 | 2019-05-29 |
| 1013492859 | Laquava Johnson | Behavior Technician | 6816 Nw Faircloud Dr, Lawton, OK 73505-1280 | 2018-09-27 |
| 1780282426 | Rylee Willmon | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-10-14 |
| 1356958110 | Samantha Farmer | Behavior Technician | 2505 Se Lee Blvd, Lawton, OK 73501-6302 | 2020-09-25 |
| 1194330191 | Sarah N Slaybaugh-martinez | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-09-15 |
| 1184236150 | Natalie Jones | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| 1083226054 | Dominick Haber | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| 1275145260 | Caroline Shell | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| 1336751320 | Jesslyan Marie Ortiz-albino | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| 1164034179 | Alana Brown | Behavior Technician | 3005 Sw Park Ave, Lawton, OK 73505-7902 | 2020-08-20 |
| Find all providers in LAWTON | ||||
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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.