Kimberly Alexis Lippoldt, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-51557 Issued in OK

Practice address

13905 Technology Dr Ste A1
Oklahoma City, OK 73134-1054

Phone

(405) 455-6868

NPI assigned

Nov 1, 2019

Last updated

May 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1700420874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 SW 2ND TER",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997173",
            "telephone_number": "405-664-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13905 TECHNOLOGY DR STE A1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341054",
            "telephone_number": "405-455-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPOLDT",
        "first_name": "KIMBERLY",
        "middle_name": "ALEXIS",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-19-103790",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-21-51557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lion Hospice, Inc.
• Mark Gregory Lipe, M.D.
• Hailey Lippe
• Rachael Leigh Lippe, P.A.
• Elizabeth Lippoldt
• Tiffany Dawn Lipscomb, AANP, APRN, NP-C
• Francis Edward Lipsinic, D.D.S.
• Marlinda N Lira
• Yaritza Liriano, IDMT
• Lisa Corstvet MD PC

• Behavior Analyst in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.