Avery Reagan Cleveland

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-297795 Issued in OK

Practice address

930 Wall St
Norman, OK 73069-6319

Phone

(405) 384-8588

NPI assigned

Sep 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avery Cleveland Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1063290757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 24TH AVE SE APT 8",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730710839",
            "telephone_number": "469-207-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696319",
            "telephone_number": "405-384-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "AVERY",
        "middle_name": "REAGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-23-297795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT-23-297795",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVERY",
            "last_name": "CLEVELAND",
            "credential": "RBT-23-297795",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelsi Clement, RBT
• Allison Clements
• Joseph Clemons
• Kyla Yvonne Clemons, M.S., CCC-SLP
• Cleveland County Sheriffs Office
• Marilynn S. Cleveland, M.ED.
• Todd Clevenger, LMSW
• Jennifer Lee Clifton, DPH
• Lettie Clifton
• Emma Makinzey Cline-Carter

• Behavior Technician in Norman, OK
• Providers in Norman, OK by specialty
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.