Individual provider Active NPI

Ana Sophia Perez, RBT

  • Behavior Technician
  • Yukon, OK
National Provider Identifier
1295497261
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-190855 Issued in OK
Practice address
1824 Commons Cir Ste B
Yukon, OK 73099-9538
Phone
(405) 467-6782
Fax
(405) 467-6100
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-190855 OK Primary

Addresses

Primary practice location

1824 Commons Cir Ste B
Yukon, OK 73099-9538

Mailing address

8825 NW 85TH St
Oklahoma City, OK 73132-4077
Phone (405) 919-5918

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

LicenseStateTypeSpecialty
RBT-21-190855OKMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Rehab, LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

1817 Commons Cir
Ste A
Yukon, OK 73099
Phone (405) 996-0298

1824 Commons Cir
Ste B
Yukon, OK 73099
Phone (405) 324-0961

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1295497261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 NW 85TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731324077",
            "telephone_number": "405-919-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 COMMONS CIR STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999538",
            "telephone_number": "405-467-6782",
            "fax_number": "405-467-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANA SOPHIA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-21-190855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.