Organization Active NPI

Master It Behavior Therapy of Oklahoma

  • Behavior Analyst
  • Oklahoma City, OK
National Provider Identifier
1649085911
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MASTER IT BEHAVIOR THERAPY OF OKLAHOMA
Practice address
629 W Main St Ste 1056
Oklahoma City, OK 73102-2221
Phone
(833) 653-1800
NPI assigned
Feb 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Chana Kolko
Title
Admin
Phone
(833) 653-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

629 W Main St Ste 1056
Oklahoma City, OK 73102-2221

Mailing address

629 W Main St Ste 1056
Oklahoma City, OK 73102-2221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1649085911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W MAIN ST STE 1056",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W MAIN ST STE 1056",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022221",
            "telephone_number": "833-653-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER IT BEHAVIOR THERAPY OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "KOLKO",
        "authorized_official_first_name": "CHANA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "833-653-1800"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.