Active NPI
Passion Johns
- Behavior Technician
- Oklahoma City, OK
National Provider Identifier
1679355135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-289951
- Practice address
- 510 E Memorial Rd Ste C1
Oklahoma City, OK 73114-2218 - Phone
- (405) 577-1411
- Fax
- (844) 447-0582
- NPI assigned
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | RBT-23-289951 | OK | Primary |
Addresses
Primary practice location
510 E Memorial Rd Ste C1
Oklahoma City, OK 73114-2218
Mailing address
1707 Professional Cir
Yukon, OK 73099-6470
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-289951 | OK | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Solutions for Autism of Oklahoma LLC | Behavior Technician | Current | Accepting new patients |
Locations
510 E Memorial Rd
Ste C1
Oklahoma City, OK 73114
Phone (405) 383-9001
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.
-
- Behavior Technician
- Oklahoma City, OK
- NPI 1245710136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1679355135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 PROFESSIONAL CIR",
"city": "YUKON",
"state": "OK",
"postal_code": "730996470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E MEMORIAL RD STE C1",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731142218",
"telephone_number": "405-577-1411",
"fax_number": "844-447-0582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "PASSION",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "RBT-23-289951",
"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 Jan 17, 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.