Active NPI
Hyatt Gharib
- Behavior Analyst
- Edmond, OK
National Provider Identifier
1750845269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12157131
- Practice address
- 17421 White Hawk Dr
Edmond, OK 73012-7022 - Phone
- (407) 624-7277
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 12157131 | FL | Primary |
Addresses
Primary practice location
17421 White Hawk Dr
Edmond, OK 73012-7022
Mailing address
17421 White Hawk Dr
Edmond, OK 73012-7022
Phone (407) 624-7277
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 |
|---|---|---|---|
| 12157131 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Blossoms | Behavior Analyst | Current | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Edmond, OK
- NPI 1154161644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1750845269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17421 WHITE HAWK DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730127022",
"telephone_number": "407-624-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17421 WHITE HAWK DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730127022",
"telephone_number": "407-624-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHARIB",
"first_name": "HYATT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "12157131",
"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 Mar 12, 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.