Active NPI
Susan Elise Rada, BCABA
- Behavior Analyst
- Oklahoma City, OK
National Provider Identifier
1215563697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0188836
- Practice address
- 5100 N Brookline Ave
Oklahoma City, OK 73112-3623 - Phone
- (405) 503-0863
- NPI assigned
- Mar 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 0188836 | OK | Primary |
Addresses
Primary practice location
5100 N Brookline Ave
Oklahoma City, OK 73112-3623
Mailing address
1920 E 2ND St Apt 4006
Edmond, OK 73034-6385
Phone (405) 503-0863
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 |
|---|---|---|---|
| 0188836 | OK | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1215563697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 E 2ND ST APT 4006",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346385",
"telephone_number": "405-503-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 N BROOKLINE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731123623",
"telephone_number": "405-503-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADA",
"first_name": "SUSAN",
"middle_name": "ELISE",
"credential": "BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "OK",
"license": "0188836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.