NPIMap

Organization Active NPI

Class Tulsa, LLC

  • Behavior Analyst
  • Jenks, OK
National Provider Identifier
1265989990
Registry record updated Sep 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-14714 Issued in OK
Legal business name
CLASS TULSA, LLC
Practice address
710 W 107TH PL S
Jenks, OK 74037-3022
Phone
(615) 504-8439
NPI assigned
Sep 11, 2016
Last updated
Sep 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2016

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

Authorized official

Name
Matthew L Williams, MS, BCBANPI 1750783692
Title
Senior Director
Phone
(615) 504-8439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-14714 OK Primary

Addresses

Primary practice location

710 W 107TH PL S
Jenks, OK 74037-3022

Mailing address

710 W 107TH PL S
Jenks, OK 74037-3022
Phone (615) 504-8439

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1473552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473552000000",
    "number": "1265989990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W 107TH PL S",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373022",
            "telephone_number": "615-504-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 107TH PL S",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373022",
            "telephone_number": "615-504-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASS TULSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "615-504-8439",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-13-14714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; 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.