Individual provider Active NPI

Chanika Janel Harrison, OUTPATIENT THERAPIST

  • Behavior Analyst
  • Lawton, OK
National Provider Identifier
1063760148
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2505 Northwest 82ND Street, Lawton, Ok, USA
A6
Lawton, OK 73505-2260
Phone
(405) 593-8638
NPI assigned
Aug 21, 2012
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2505 Northwest 82ND Street, Lawton, Ok, USA
A6
Lawton, OK 73505-2260

Mailing address

2505 Northwest 82ND Street, Lawton, Ok, USA
A6
Lawton, OK 73505-2260
Phone (405) 593-8638

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1063760148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 NORTHWEST 82ND STREET, LAWTON, OK, USA",
            "address_2": "A6",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052260",
            "telephone_number": "405-593-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NORTHWEST 82ND STREET, LAWTON, OK, USA",
            "address_2": "A6",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052260",
            "telephone_number": "405-593-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CHANIKA",
        "middle_name": "JANEL",
        "credential": "OUTPATIENT THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.