Organization Active NPI

Extraordinary Minds LLC

  • Behavior Analyst
  • Oklahoma City, OK
National Provider Identifier
1669152278
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EXTRAORDINARY MINDS LLC
Practice address
1715 N Broadway Ave
Oklahoma City, OK 73103-3416
Phone
(405) 915-5166
Fax
(405) 400-8801
NPI assigned
Jul 19, 2023
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Hagar Affify, BCBA, LBANPI 1053870766
Title
Ceo
Phone
(918) 691-6042

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 1

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

Addresses

Primary practice location

1715 N Broadway Ave
Oklahoma City, OK 73103-3416

Mailing address

3732 Pettit Blvd
Edmond, OK 73012-9402
Phone (405) 915-5166

National Provider Directory

National Provider Directory

Locations

1715 N Broadway Ave
Oklahoma City, OK 73103
Phone (405) 687-0544

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1669152278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 PETTIT BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129402",
            "telephone_number": "405-915-5166",
            "fax_number": "405-400-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N BROADWAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033416",
            "telephone_number": "405-915-5166",
            "fax_number": "405-400-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAORDINARY MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "AFFIFY",
        "authorized_official_first_name": "HAGAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-691-6042",
        "authorized_official_credential": "BCBA, LBA"
    },
    "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 26, 2026; 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.