Individual provider Active NPI

Elizabeth Doyle

  • Behavior Technician
  • Edmond, OK
National Provider Identifier
1649017880
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
24359198 Issued in OK
Practice address
401 S Coltrane Rd Ste 260
Edmond, OK 73034-6722
Phone
(580) 318-9415
Fax
(405) 999-4998
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 24359198 OK Primary

Addresses

Primary practice location

401 S Coltrane Rd Ste 260
Edmond, OK 73034-6722

Mailing address

1205 Kingston Blvd
Edmond, OK 73034-3227
Phone (580) 318-9415

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

LicenseStateTypeSpecialty
24359198OKMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ok-Theraplay CurrentSince Jul 21, 2024 Accepting new patients

Locations

401 S Coltrane Rd
Ste 260
Edmond, OK 73034
Phone (405) 257-0223

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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1649017880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 KINGSTON BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343227",
            "telephone_number": "580-318-9415",
            "fax_number": "405-999-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S COLTRANE RD STE 260",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346722",
            "telephone_number": "580-318-9415",
            "fax_number": "405-999-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "24359198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.