Individual provider Active NPI

Amiko Fallon Asamen

  • Behavior Analyst
  • Tulsa, OK
National Provider Identifier
1013419449
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-86129 Issued in OK
Practice address
4515 E 91St St Ste 201
Tulsa, OK 74137-2862
Phone
(918) 730-9123
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-25-86129 OK Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

4515 E 91St St Ste 201
Tulsa, OK 74137-2862

Mailing address

RR 1 Box 144
444379 E 956 Road
Gore, OK 74435-9507

Other practice location 1

444576 E 956 Rd
Gore, OK 74435-9571
Phone (918) 487-9866

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1013419449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 144",
            "address_2": "444379 E 956 ROAD",
            "city": "GORE",
            "state": "OK",
            "postal_code": "744359507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 E 91ST ST STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372862",
            "telephone_number": "918-730-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444576 E 956 Rd",
            "address_purpose": "LOCATION",
            "city": "Gore",
            "state": "OK",
            "postal_code": "744359571",
            "country_code": "US",
            "telephone_number": "918-487-9866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASAMEN",
        "first_name": "AMIKO",
        "middle_name": "FALLON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-25-86129",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.