NPIMap

Organization Active NPI

Alpha Autism Therapy, LLC

  • Behavior Analyst
  • Edmond, OK
National Provider Identifier
1649917394
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ALPHA AUTISM THERAPY, LLC
Practice address
2524 N Broadway
Suite 528
Edmond, OK 73034
Phone
(405) 987-7354
Fax
(877) 349-8962
NPI assigned
May 15, 2022
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Katrina Gittins, BCBANPI 1568957751
Title
Ceo
Phone
(405) 987-7354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU
Behavior Analyst 103K00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2524 N Broadway
Suite 528
Edmond, OK 73034

Mailing address

2524 N Broadway
Suite 528
Edmond, OK 73034
Phone (405) 987-7354

Other identifiers 1

IdentifierTypeStateIssuer
201077980AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@alphaautism.com Direct

National Provider Directory

National Provider Directory

Locations

2524 N Broadway
Ste 528
Edmond, OK 73034
Phone (405) 987-7354

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1652572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1649917394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 N BROADWAY",
            "address_2": "SUITE 528",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-987-7354",
            "fax_number": "877-349-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 N BROADWAY",
            "address_2": "SUITE 528",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-987-7354",
            "fax_number": "877-349-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA AUTISM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-15",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "GITTINS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-987-7354",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201077980A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@alphaautism.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5501 Rosena Trl",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750284329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 14, 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.