Active NPI
Tara Nelson
- Behavior Technician
- Durant, OK
National Provider Identifier
1003620204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 372 Bryan Dr Ste 112
Durant, OK 74701-3466 - Phone
- (903) 444-0910
- NPI assigned
- Feb 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
372 Bryan Dr Ste 112
Durant, OK 74701-3466
Mailing address
718 US Highway 82 E
Sherman, TX 75090-0528
Phone (903) 444-0910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince ABA Consulting | Current | Accepting new patients |
Locations
372 Bryan Dr
Ste 112
Durant, OK 74701
Phone (903) 444-0910
718 US Highway 82 E
Sherman, TX 75090
Phone (903) 444-0910
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Durant, OK
- NPI 1821774605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1003620204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 US HIGHWAY 82 E",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750900528",
"telephone_number": "903-444-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 BRYAN DR STE 112",
"city": "DURANT",
"state": "OK",
"postal_code": "747013466",
"telephone_number": "903-444-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-06",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.