BENNISA MICHELLE BURRIS (NPI# 1992045777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992045777 |
| Entity Type | Individual |
| Full Name | BENNISA MICHELLE BURRIS |
| Practice Address |
5555 S Lewis Ave Tulsa OK 74105-7104 |
| Mailing Address |
2624 N Quincy Ave Tulsa OK 74106-2604 |
| Practice Telephone | 9187794556 |
| Mailing Telephone | 9189491904 |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |
| 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 |
5555 S LEWIS AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74105-7104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881848562 | Debra A Baker | Acupuncturist | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2008-11-08 |
| 1831734938 | Jessica Johnson | Case Manager/Care Coordinator | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2019-11-12 |
| 1730633538 | Jordan Dixon | Counselor | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2016-08-09 |
| 1437536794 | Hailey Chappell | Counselor | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2015-05-06 |
| 1508275934 | Melanie Vang | Case Manager/Care Coordinator | 5555 S Lewis Ave, Tulsa, N/A 74105 | 2014-08-11 |
| 1528472990 | Carly Reid Gilbert | Case Manager/Care Coordinator | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2014-06-13 |
| 1235543828 | Mai Xiong | Case Manager/Care Coordinator | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2014-06-11 |
| 1790198257 | Debra Smith | Counselor | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2014-06-03 |
| 1740691666 | Laqueta Morgan | Counselor | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2014-05-13 |
| 1811308075 | Machele Anderson | Counselor | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2014-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
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| 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 |
|---|---|---|---|---|
| 1497353049 | Angela Christene Wilson | Behavioral Analyst | 2523 E 88th St Apt 315, Tulsa, OK 74137-2423 | 2020-10-15 |
| 1356954721 | Michael R Rife | Behavioral Analyst | 1515 S Madison Ave, Tulsa, OK 74120-6215 | 2020-08-26 |
| 1588296198 | Lynsey Garrett | Behavioral Analyst | 7306 S Yale Ave, Tulsa, OK 74136-7027 | 2020-02-11 |
| 1578059259 | Tiffany Lacy David | Behavioral Analyst | 7170 S Braden Ave Ste 195, Tulsa, OK 74136-6324 | 2018-07-06 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1700388899 | Alexis James Rittenhouse | Behavioral Analyst | 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 | 2018-03-05 |
| 1053828970 | Amy Kay Rosa | Behavioral Analyst | 7107 S Yale Ave # 161, Tulsa, OK 74136-6308 | 2017-12-30 |
| 1225571367 | Jennifer Brummert | Behavioral Analyst | 7509 S 95th East Ave, Tulsa, OK 74133-5273 | 2016-11-21 |
| 1366802324 | Thomas Boxley | Behavioral Analyst | 2222 W Newton St, Tulsa, OK 74127-3016 | 2016-03-03 |
| 1003274333 | Delores Warrior-webb | Behavioral Analyst | 2518 E 88th St, Apt 8, Tulsa, OK 74137-2427 | 2016-02-01 |
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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.