Active NPI
Reola Michelle Davis, RBT
- Behavior Technician
- Midwest City, OK
National Provider Identifier
1538762000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-144292
- Practice address
- 1212 S Air Depot Blvd Ste 17
Midwest City, OK 73110-4860 - Phone
- (405) 455-6868
- Fax
- (800) 856-0132
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- 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-20-144292 | OK | Primary |
Addresses
Primary practice location
1212 S Air Depot Blvd Ste 17
Midwest City, OK 73110-4860
Mailing address
1212 S Air Depot Blvd Ste 17
Midwest City, OK 73110-4860
Phone (405) 455-6868
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-20-144292 | OK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1538762000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 S AIR DEPOT BLVD STE 17",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104860",
"telephone_number": "405-455-6868",
"fax_number": "800-856-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 S AIR DEPOT BLVD STE 17",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104860",
"telephone_number": "405-455-6868",
"fax_number": "800-856-0132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "REOLA",
"middle_name": "MICHELLE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "RBT-20-144292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.