Individual provider Active NPI

McKinsie Oblad, BCBA

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1366830135
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11728923 Issued in UT
Practice address
700 N Saint Marys St Ste 1400
San Antonio, TX 78205-3535
Phone
(801) 673-2839
NPI assigned
Jan 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11728923 UT Primary

Addresses

Primary practice location

700 N Saint Marys St Ste 1400
San Antonio, TX 78205-3535

Mailing address

11138 Huebner Oaks Apt 387
San Antonio, TX 78230-1278
Phone (801) 673-2839

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
11728923UTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
TX Behavioral Supports, LLC Behavior Analyst CurrentSince Jun 26, 2022 Accepting new patients

Locations

12758 Cimarron Path
Ste B127
San Antonio, TX 78249

12770 Cimarron Path
Ste 118
San Antonio, TX 78249
Phone (855) 374-4900

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1366830135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11138 HUEBNER OAKS APT 387",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301278",
            "telephone_number": "801-673-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N SAINT MARYS ST STE 1400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053535",
            "telephone_number": "801-673-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBLAD",
        "first_name": "MCKINSIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "11728923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.