Individual provider Active NPI

Rosa Linda Resendis, RBT

  • Behavior Technician
  • Edmond, OK
National Provider Identifier
1720810476
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1174834 Issued in OK
Practice address
401 S Coltrane Rd Ste 260
Edmond, OK 73034-6722
Phone
(580) 318-9415
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1174834 OK Primary

Addresses

Primary practice location

401 S Coltrane Rd Ste 260
Edmond, OK 73034-6722

Mailing address

401 S Coltrane Rd Ste 260
Edmond, OK 73034-6722
Phone (580) 318-9415

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

LicenseStateTypeSpecialty
BACB1174834OKMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ok-Theraplay PastSince Aug 25, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1720810476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S COLTRANE RD STE 260",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346722",
            "telephone_number": "580-318-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S COLTRANE RD STE 260",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346722",
            "telephone_number": "580-318-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESENDIS",
        "first_name": "ROSA",
        "middle_name": "LINDA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "BACB1174834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 19, 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.

Verify at the official NPI Registry.