Active NPI
Taylor Scott Evans
- Behavior Technician
- Oklahoma City, OK
National Provider Identifier
1417594243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-104838
- Practice address
- 3030 NW Expressway Ste 200
Oklahoma City, OK 73112-5466 - Phone
- (331) 222-7724
- NPI assigned
- Nov 27, 2019
- Last updated
- Nov 27, 2019
- Sex
- Male
- Sole proprietor
- No
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 Technician | 106S00000X | RBT-19-104838 | OK | Primary |
Addresses
Primary practice location
3030 NW Expressway Ste 200
Oklahoma City, OK 73112-5466
Mailing address
3030 NW Expressway Ste 200
Oklahoma City, OK 73112-5466
Phone (331) 222-7724
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-104838 | OK | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Behavioral Edge LLC | Past | Accepting new patients |
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": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1417594243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 NW EXPRESSWAY STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125466",
"telephone_number": "331-222-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 NW EXPRESSWAY STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125466",
"telephone_number": "331-222-7724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TAYLOR",
"middle_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "RBT-19-104838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
- Reginald Evans, DPT
- Robert D Evans, MD
- Samantha Jean Evans
- Samilya Evans
- Sarah Anne Evans
- Evas Home Health LLC
- Henrietta Ngozi Evbuomwan, MSC, LPC
- Henry Osayamen Evbuomwan, LPC
- Everest Pharmacy LLC (New Hope Pharmacy)
- Everest Rehabilitation Hospital Okc, LLC (Mercy Rehabilitation Hospital Oklahoma City South)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.