Individual provider Active NPI

Lisa Hardaway

  • Behavior Technician
  • Idabel, OK
National Provider Identifier
1134974207
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
17 S Central Ave
Idabel, OK 74745-4625
Phone
(580) 353-9726
NPI assigned
Apr 22, 2024
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

17 S Central Ave
Idabel, OK 74745-4625

Mailing address

432057 State Highway 3
Fort Towson, OK 74735-7506

Other practice location 1

139 E Main St
Wilburton, OK 74578-4229
Phone (580) 209-6112

Other practice location 2

1402 W Main St
Antlers, OK 74523-2059
Phone (580) 209-6111

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

OrganizationSpecialtyStatusNew patients
Brighter Days Wellness & Behavior Analysis Inc Behavior Technician CurrentSince Mar 27, 2022 Accepting new patients

Locations

1402 W Main St
Antlers, OK 74523
Phone (580) 209-6111

17 S Central Ave
Idabel, OK 74745
Phone (580) 286-5184

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1134974207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432057 STATE HIGHWAY 3",
            "city": "FORT TOWSON",
            "state": "OK",
            "postal_code": "747357506",
            "fax_number": "580-209-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S CENTRAL AVE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747454625",
            "telephone_number": "580-353-9726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 E Main St",
            "address_purpose": "LOCATION",
            "city": "Wilburton",
            "state": "OK",
            "postal_code": "745784229",
            "country_code": "US",
            "telephone_number": "580-209-6112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 W Main St",
            "address_purpose": "LOCATION",
            "city": "Antlers",
            "state": "OK",
            "postal_code": "745232059",
            "country_code": "US",
            "telephone_number": "580-209-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDAWAY",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idabel, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.