ETHAN BRUCE (NPI# 1760099121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760099121 |
| Entity Type | Individual |
| Full Name | ETHAN BRUCE |
| Practice Address |
4515 E 91st St Ste 201 Tulsa OK 74137-2810 |
| Practice Telephone | 8557827822 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| 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 |
4515 E 91ST ST STE 201 |
| City | TULSA |
| State | OK |
| Zip Code | 74137-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700388899 | Alexis James Rittenhouse | Behavioral Analyst | 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 | 2018-03-05 |
| 1720694748 | Minelly Nunez | Behavior Technician | 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 | 2020-09-16 |
| 1669088589 | Kylie Littledave | Behavior Technician | 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 | 2020-09-16 |
| 1902425069 | Lainey Marie Lopez | Behavior Technician | 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 | 2020-04-09 |
| 1619513249 | Jacqueline Nereyda Galdamez | Behavior Technician | 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 | 2019-11-19 |
| 1205486073 | Ashlee Mickelson | Behavior Technician | 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 | 2019-09-13 |
| 1518514983 | Cheri Lynn Boudreau | Behavior Technician | 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| 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 |
|---|---|---|---|---|
| 1730780792 | Baylee Marie Hicks | Behavior Technician | 4515 E 91st St # 201, Tulsa, OK 74137-2810 | 2020-11-05 |
| 1376152116 | Faris Roberts | Behavior Technician | 8336 S 77th East Ave Apt 1219, Tulsa, OK 74133-3931 | 2020-07-28 |
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1558994723 | Janet Bautista | Behavior Technician | 7170 S Braden Ave Ste 210, Tulsa, OK 74136-6316 | 2020-02-17 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1558912063 | Kendall Lee Wilson-henson | Behavior Technician | 4515 E 91st St, Tulsa, OK 74137-2810 | 2019-09-25 |
| 1326544727 | Joannette Allen | Behavior Technician | 4916 N. St. Louis Ave, Tulsa, OK 74126 | 2018-04-04 |
| 1215447172 | Samantha Sanco | Behavior Technician | 3 S 205th East Ave, Tulsa, OK 74108-8131 | 2017-10-05 |
| 1699208405 | Anthony L. Taylor Sr. | Behavior Technician | 8001 S Mingo Rd Apt 2502, Tulsa, OK 74133-0842 | 2017-04-07 |
| 1871025593 | Rachael Robinson | Behavior Technician | 5077 S 76th East Ave Apt A, Tulsa, OK 74145-6234 | 2017-03-31 |
| Find all providers in TULSA | ||||
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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.