Michael McClellan, BS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3015 E Skelly Dr Ste 395
Tulsa, OK 74105-6317

Phone

(918) 764-8378

Fax

(877) 655-4360

NPI assigned

Jun 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Locations

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.

• Momentum Learning LLC

  • Behavior Analyst
  • Tulsa, OK
  • NPI 1942885876
  NPD

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1770077299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14202 E 84TH ST N APT 202",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740557603",
            "telephone_number": "918-557-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR STE 395",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-764-8378",
            "fax_number": "877-655-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "MICHAEL",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia McClean, B.S.N. RN
• Jessica McClellan
• Keenan McClellan
• Lori Ann McClellan
• Madison Brooke McClellan
• Whitney McClelland
• Steven Michael McClendon, PSY.D.
• Sharisa Nicole McClennan-Brewer, L.P.N.
• Tammera McClenton
• McClure & Associates Psychiatry PLLC

• Behavior Technician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.