Active NPI
Mariana Mendez
- Behavior Technician
- Durant, OK
National Provider Identifier
1184507360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1378821
- Practice address
- 103 N 3Rd Ave
Durant, OK 74701-4700 - Phone
- (580) 706-6936
- NPI assigned
- Jul 28, 2025
- Last updated
- Jul 28, 2025
- 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 Technician | 106S00000X | BACB1378821 | OK | Primary |
Addresses
Primary practice location
103 N 3Rd Ave
Durant, OK 74701-4700
Mailing address
21018 Pettijohn Springs Rd
Madill, OK 73446-7507
Phone (580) 263-8928
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 |
|---|---|---|---|
| BACB1378821 | OK | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Owen Academy, LLC | Current | Accepting new patients |
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": "1753660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1184507360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21018 PETTIJOHN SPRINGS RD",
"city": "MADILL",
"state": "OK",
"postal_code": "734467507",
"telephone_number": "580-263-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N 3RD AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747014700",
"telephone_number": "580-706-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "MARIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "BACB1378821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
- Medical Center Pharmacy of Durant Inc (Medical Center Pharmacy Inc)
- Medical Center Pharmacy of Durant, Inc. (Advanced Care Medical Equiipment)
- Lana Michelle Medlock
- Tiara Meek
- Suzanne Melugin, MBS
- Mental Health Service of Southern Oklahoma
- Mental Health Service of Southern Oklahoma
- Mental Health Services of Southern Oklahoma
- Evan Mies
- Laura Milford
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.