DEIDRA RACHELLE MEREDITH (NPI# 1932402948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932402948 |
| Entity Type | Individual |
| Full Name | DEIDRA RACHELLE MEREDITH |
| Practice Address |
647 N Kickapoo Ave Shawnee OK 74801-6063 |
| Mailing Address |
Po Box 632 Krebs OK 74554-0632 |
| Practice Telephone | 4052140933 |
| Mailing Telephone | 9184702862 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
647 N KICKAPOO AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891008199 | Zachery Aaron Coplen | Case Manager/Care Coordinator | 647 N Kickapoo Ave, Shawnee, OK 74801-6063 | 2010-07-15 |
| 1457609893 | Linda K Crosthwait | Case Manager/Care Coordinator | 647 N Kickapoo Ave, Shawnee, OK 74801-6063 | 2012-08-15 |
| 1700189651 | Ronald Edward Jordan IIi | Counselor | 647 N Kickapoo Ave, Shawnee, OK 74580 | 2010-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| 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 |
|---|---|---|---|---|
| 1265052831 | Beyond The Individual, LLC | Behavioral Analyst | 8346 Redbird St, Shawnee, KS 66227-8701 | 2020-04-23 |
| 1619438801 | Hope Bazille | Behavioral Analyst | 17210 Midland Dr, Shawnee, KS 66217 | 2019-03-29 |
| 1558829507 | Jena Taylor Smith | Behavioral Analyst | 5405 Roberts St, Shawnee, KS 66226-3937 | 2019-03-08 |
| 1023574126 | Andrea Corrales | Behavioral Analyst | 17210 Midland Drive, Shawnee, KS 66217 | 2019-02-13 |
| 1912436379 | Alexandra Snyder | Behavioral Analyst | 23714 W. 54th Terr., Shawnee, KS 66226 | 2017-06-08 |
| 1366847972 | Leeann Peck | Behavioral Analyst | 7027 Barth Rd, Shawnee, KS 66226-3535 | 2014-10-24 |
| 1952713364 | Crystal Duggins | Behavioral Analyst | 38507 Macarthur St, Shawnee, OK 74804-9118 | 2014-05-20 |
| 1700204039 | Walter Boyd II | Behavioral Analyst | 18 Osage Dr, Shawnee, OK 74801-5536 | 2014-04-03 |
| 1053749093 | Michael Tachell | Behavioral Analyst | 530 N Douglas St, Shawnee, OK 74801-6931 | 2013-10-30 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| Find all providers in SHAWNEE | ||||
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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.