Active NPI
Justin Hayes, RBT
- Behavior Technician
- Norman, OK
National Provider Identifier
1467051649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT20139702
- Practice address
- 1806 24TH Ave NW
Norman, OK 73069-6392 - Phone
- (405) 482-1905
- Fax
- (405) 857-8489
- NPI assigned
- Oct 20, 2020
- 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 | RBT20139702 | OK | Primary |
Addresses
Primary practice location
1806 24TH Ave NW
Norman, OK 73069-6392
Mailing address
1806 24TH Ave NW
Norman, OK 73069-6392
Phone (405) 482-1905
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 |
|---|---|---|---|
| RBT20139702 | OK | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kid'S Choice Therapies, 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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Norman, OK
- NPI 1669008231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1467051649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 24TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696392",
"telephone_number": "405-482-1905",
"fax_number": "405-857-8489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 24TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696392",
"telephone_number": "405-482-1905",
"fax_number": "405-857-8489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "JUSTIN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "RBT20139702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.