Active NPI
Heidi Eilers, PH.D., BCBA-D
- Behavior Analyst
- Choctaw, OK
National Provider Identifier
1649413980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA #1041965
- Practice address
- 1960 Harper St
Choctaw, OK 73020-8095 - Phone
- (405) 281-1040
- Fax
- (405) 585-2983
- NPI assigned
- Apr 16, 2009
- Last updated
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | BCBA #1041965 | CA | Primary |
Addresses
Primary practice location
1960 Harper St
Choctaw, OK 73020-8095
Mailing address
9620 Chesapeake Dr
San Diego, CA 92123-1369
Phone (714) 425-1680
Other practice location 1
9620 Chesapeake Dr
San Diego, CA 92123-1369
Phone (714) 425-1680
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BCBA #1041965 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1649413980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9620 CHESAPEAKE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231369",
"telephone_number": "714-425-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 HARPER ST",
"city": "CHOCTAW",
"state": "OK",
"postal_code": "730208095",
"telephone_number": "405-281-1040",
"fax_number": "405-585-2983"
}
],
"practiceLocations": [
{
"address_1": "9620 Chesapeake Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231369",
"country_code": "US",
"telephone_number": "714-425-1680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EILERS",
"first_name": "HEIDI",
"credential": "PH.D., BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "BCBA #1041965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Choctaw, OK
- Tiphanie A Deitz, BASW
- Caitlin Alexandrea Dennis, RD/LD
- Chris Lamont Douglas, MASTER SOCIAL WORK
- Marianne Douglas, MS, CCC-SLP
- Eastern Oklahoma County Technology (EOC Sr Adult Services)
- Elite Wellness PLLC Sara Botchlet Aprn-CNP
- Sherry Elliott, SLP
- Lacey R Fairbrother, PT, DPT
- Dustin R Farris
- Jazmine Celestial Faulconer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.