Active NPI
Adrienne Oaks, BCBA
- Behavior Analyst
- Miamisburg, OH
National Provider Identifier
1164876959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-22015
- Practice address
- 3449 Newmark Dr
Miamisburg, OH 45342-5426 - Phone
- (937) 281-1286
- NPI assigned
- Apr 18, 2016
- Last updated
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 1-16-22015 | OH | Primary |
Addresses
Primary practice location
3449 Newmark Dr
Miamisburg, OH 45342-5426
Mailing address
PO Box 411169
Boston, MA 02241-1169
Phone (888) 830-4125
Other practice location 1
1214 E Dayton Yellow Springs Rd
Fairborn, OH 45324-6326
Phone (937) 878-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0406425 | Medicaid | OH |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Pediatric Therapy LLC | Past | Accepting new patients | |
| Trumpet Behavioral Health | Past | Accepting new patients | |
| Trumpet Behavioral Health | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba ABC Pediatric Therapy Network
- Physical Therapist
- West Chester, OH
- NPI 1134152861
-
- Community/Behavioral Health Agency
- Fairborn, OH
- NPI 1366994980
-
- Behavior Analyst
- Fairborn, OH
- NPI 1851842488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1164876959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411169",
"city": "BOSTON",
"state": "MA",
"postal_code": "022411169",
"telephone_number": "888-830-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3449 NEWMARK DR",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453425426",
"telephone_number": "937-281-1286"
}
],
"practiceLocations": [
{
"address_1": "1214 E Dayton Yellow Springs Rd",
"address_purpose": "LOCATION",
"city": "Fairborn",
"state": "OH",
"postal_code": "453246326",
"country_code": "US",
"telephone_number": "937-878-8444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OAKS",
"first_name": "ADRIENNE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "1-16-22015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0406425",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.