Active NPI
Caitlyn Hope Cromer
- Behavior Technician
- Durant, OK
National Provider Identifier
1245056456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1227312
- Practice address
- 107 N 3Rd Ave
Durant, OK 74701-4700 - Phone
- (580) 706-6936
- NPI assigned
- Dec 3, 2024
- 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 | BACB1227312 | OK | Primary |
Addresses
Primary practice location
107 N 3Rd Ave
Durant, OK 74701-4700
Mailing address
107 N 3Rd Ave
Durant, OK 74701-4700
Phone (580) 706-6936
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 |
|---|---|---|---|
| BACB1227312 | OK | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Owen Academy, LLC | Current | Accepting new patients |
Locations
107 N 3rd Ave
Durant, OK 74701
Phone (580) 706-6936
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": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1245056456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N 3RD AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747014700",
"telephone_number": "580-706-6936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N 3RD AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747014700",
"telephone_number": "580-706-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROMER",
"first_name": "CAITLYN",
"middle_name": "HOPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "BACB1227312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.