NPIMap

Organization Active NPI

Scissortail Therapy Services LLC

  • Behavior Analyst
  • Edmond, OK
National Provider Identifier
1164205779
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SCISSORTAIL THERAPY SERVICES LLC
Practice address
64 E 33Rd St
Edmond, OK 73013-4603
Phone
(405) 417-4420
NPI assigned
Aug 16, 2023
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Rachel AbramNPI 1609421874
Title
Owner
Phone
(405) 417-4420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

64 E 33Rd St
Edmond, OK 73013-4603

Mailing address

1420 Vulcan Cir
Edmond, OK 73003-6031
Phone (501) 881-0926

National Provider Directory

National Provider Directory

Locations

64 E 33rd St
Edmond, OK 73013
Phone (405) 417-4420

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1164205779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 VULCAN CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730036031",
            "telephone_number": "501-881-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134603",
            "telephone_number": "405-417-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCISSORTAIL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "ABRAM",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-417-4420"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.