Active NPI
Leann Storck
- Behavior Technician
- Braman, OK
National Provider Identifier
1124610662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT21152035
- Practice address
- 21450 W Bender Rd
Braman, OK 74632-9278 - Phone
- (405) 370-4319
- NPI assigned
- Feb 5, 2021
- Last updated
- Feb 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | RBT21152035 | OK | Primary |
Addresses
Primary practice location
21450 W Bender Rd
Braman, OK 74632-9278
Mailing address
21450 W Bender Rd
Braman, OK 74632-9278
Phone (405) 370-4319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT21152035 | Other | OK | REGISTERED BEHAVIORAL THERAPIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | aspireoklahoma@gmail.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT21152035 | OK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1124610662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21450 W BENDER RD",
"city": "BRAMAN",
"state": "OK",
"postal_code": "746329278",
"telephone_number": "405-370-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21450 W BENDER RD",
"city": "BRAMAN",
"state": "OK",
"postal_code": "746329278",
"telephone_number": "405-370-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORCK",
"first_name": "LEANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "RBT21152035",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED BEHAVIORAL THERAPIST",
"identifier": "RBT21152035",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "aspireoklahoma@gmail.com",
"affiliation": "N",
"address_1": "214550 w Bender",
"city": "Braman",
"state": "OK",
"country_code": "US",
"postal_code": "74632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Braman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.