Active NPI
Dallas Kilgore, M.A., BCBA
- Behavior Analyst
- Moore, OK
National Provider Identifier
1033779079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-75112
- Practice address
- 146 SW 134TH St
Moore, OK 73170-1488 - Phone
- (405) 265-9324
- Fax
- (317) 520-8200
- NPI assigned
- Jun 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7446 | TX | |
| Behavior Analyst | 103K00000X | 1-24-75112 | OK | Primary |
Addresses
Primary practice location
146 SW 134TH St
Moore, OK 73170-1488
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
16538 N May Ave
Edmond, OK 73012-9007
Phone (405) 265-9208
Other practice location 2
2630 W Rumble Rd
Modesto, CA 95350-0155
Phone (209) 222-2378
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7446 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1033779079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 SW 134TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731701488",
"telephone_number": "405-265-9324",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "16538 N May Ave",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730129007",
"country_code": "US",
"telephone_number": "405-265-9208",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2630 W Rumble Rd",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953500155",
"country_code": "US",
"telephone_number": "209-222-2378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILGORE",
"first_name": "DALLAS",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-20",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "7446",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "1-24-75112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.