Active NPI
Kent Thomas Hathaway, BCBA
- Behavior Analyst
- Oklahoma City, OK
National Provider Identifier
1023852597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-73310
- Practice address
- 8007 NW 122ND St
Oklahoma City, OK 73142-3302 - Phone
- (405) 603-6622
- NPI assigned
- Jun 20, 2024
- Sex
- Male
- 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 Analyst | 103K00000X | 1-24-73310 | OK | Primary |
Addresses
Primary practice location
8007 NW 122ND St
Oklahoma City, OK 73142-3302
Mailing address
4446 Blackthorn Dr
Edmond, OK 73012-0912
Phone (405) 413-6364
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 |
|---|---|---|---|
| Speech Pathway LLC | Current | Accepting new patients | |
| Speech Pathways, PLLC | Past | Accepting new patients |
Locations
8007 NW 122nd St
Oklahoma City, OK 73142
Phone (405) 276-2888
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Oklahoma City, OK
- NPI 1659637148
-
- Rehabilitation Clinic/Center
- Ardmore, OK
- NPI 1053361741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1023852597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4446 BLACKTHORN DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730120912",
"telephone_number": "405-413-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8007 NW 122ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731423302",
"telephone_number": "405-603-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "KENT",
"middle_name": "THOMAS",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "1-24-73310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.