Kendall Decker, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-38478 Issued in OK

Practice address

10338 E 11TH St # 105
Tulsa, OK 74128-3008

Phone

(189) 978-3861

NPI assigned

Aug 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Pink Skies Autism LLC

  • Behavior Analyst
  • Parker, CO
  • NPI 1295546471
  NPD Authorized official
• Pediatrics Plus Therapy

  • Rehabilitation Clinic/Center
  • Frisco, TX
  • NPI 1932615234
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1154979490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10338 E 11TH ST # 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741283008",
            "telephone_number": "918-978-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10338 E 11TH ST # 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741283008",
            "telephone_number": "189-978-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "KENDALL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3025",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-19-38478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie L Decker, CST/CSFA
• Caitlyn Decker
• Destini A Decker
• Edward E. Decker Jr., PH.D.
• Garrett Hughes Decker, D.O.
• Arriana Decuir
• Shelby Lynn Dederick, RD/LD
• Riley A. Jarrett Deem
• Laura Elaine Deer
• Stephanie Deering

• Behavior Analyst in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.