Cheri Lynn Boudreau

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4515 E 91St St Ste 201
Tulsa, OK 74137-2810

Phone

(855) 782-7822

NPI assigned

Aug 21, 2019

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Monarch Behavioral Therapy Bii, LLC

  dba Behavioral Innovations

  • Behavior Analyst
  • Columbia, MD
  • NPI 1043456296

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1518514983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD STE 800",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013627",
            "telephone_number": "972-895-3287",
            "fax_number": "469-914-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 E 91ST ST STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372810",
            "telephone_number": "855-782-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10320 W McDowell Rd Ste Avondale",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853924863",
            "country_code": "US",
            "telephone_number": "602-397-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUDREAU",
        "first_name": "CHERI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ophelia Renee Botone
• Bridget Botsford
• Heather Jean Bottoms, BA
• Elizabeth Anne Bouch, RN
• Bernadette Bouciquot
• Madyson R Boughman
• Shannon Boughner, D.O.
• Boulder Professional Reading LLC
• Jonathan Daniel Bouldin, APRN-CNP
• Harrison Bouma

• Behavior Technician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.