Sandra L. Reese-Keck, BCBA, LPC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-9464 Issued in OK

Practice address

729 Overland Trail
Enid, OK 73703

Phone

(580) 540-4163

Fax

(580) 294-5204

NPI assigned

Jan 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Aspire Oklahoma LLC

  • Behavior Analyst
  • Enid, OK
  • NPI 1841541935
  NPD Authorized official

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1487925335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 OVERLAND TRAIL",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-540-4163",
            "fax_number": "580-294-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 OVERLAND TRAIL",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-540-4163",
            "fax_number": "580-294-5204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5417 S Imo Rd",
            "address_purpose": "LOCATION",
            "city": "Waukomis",
            "state": "OK",
            "postal_code": "737739200",
            "country_code": "US",
            "telephone_number": "405-823-8226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE-KECK",
        "first_name": "SANDRA",
        "middle_name": "L.",
        "credential": "BCBA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6531",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-11-9464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200480230C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE",
            "identifier": "6531",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868590A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-11-9464",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adhikari M Reddy, M.D.
• Jay Redelsperger
• Dayna Marie Reed, BSW, CM
• Meredith J Reed, BS
• Philip Reed, D.C.
• Tina D Regier, LMSW, MSW U/S
• Rehabcare Group, Inc.
• Janice Kay Reid, LADC UNDER SUPERVISI
• Shaye Reilly, MCP, LPC, M. ED
• Jeremy Charles Reitinger, MD

• Behavior Analyst in Enid, OK
• Providers in Enid, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.