Individual provider Active NPI

Brittany Michelle Johnson Chiles, BCBA

  • Behavior Analyst
  • Oklahoma City, OK
National Provider Identifier
1386900942
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-35955 Issued in OK
Practice address
2601 NW Expressway
Suite 107W
Oklahoma City, OK 73112-7272
Phone
(405) 767-2082
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 1-19-35955 OK Primary

Addresses

Primary practice location

2601 NW Expressway
Suite 107W
Oklahoma City, OK 73112-7272

Mailing address

7416 Broadway Ext Ste a
Oklahoma City, OK 73116-9066
Phone (408) 250-1295

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1386900942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 BROADWAY EXT STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169066",
            "telephone_number": "408-250-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 NW EXPRESSWAY",
            "address_2": "SUITE 107W",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127272",
            "telephone_number": "405-767-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON CHILES",
        "first_name": "BRITTANY",
        "middle_name": "MICHELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-19-35955",
            "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 Apr 17, 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.