Active NPI
Tiffany Roshawn Bruner
- Behavior Analyst
- Oklahoma City, OK
National Provider Identifier
1285076257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2520 NW 39TH Expy Ste 100
Oklahoma City, OK 73112-3759 - Phone
- (405) 413-2077
- NPI assigned
- Jul 19, 2013
- 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 | Primary |
Addresses
Primary practice location
2520 NW 39TH Expy Ste 100
Oklahoma City, OK 73112-3759
Mailing address
2520 N.W.39TH Suite #100
Okc, OK 73112
Phone (405) 413-2077
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1285076257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 N.W.39TH SUITE #100",
"city": "OKC",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-413-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 NW 39TH EXPY STE 100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731123759",
"telephone_number": "405-413-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNER",
"first_name": "TIFFANY",
"middle_name": "ROSHAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-19",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"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 Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.