Active NPI
Emily Nicole Ryan, RBT
- Behavior Technician
- Yukon, OK
National Provider Identifier
1780321919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1824 Commons Cir Ste B
Yukon, OK 73099-9538 - Phone
- (405) 467-6782
- NPI assigned
- May 18, 2022
- 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 | OK | Primary |
Addresses
Primary practice location
1824 Commons Cir Ste B
Yukon, OK 73099-9538
Mailing address
804 Hampton CT
El Reno, OK 73036-5745
Phone (405) 990-0961
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Rehab, LLC | Current | Accepting new patients |
Locations
1824 Commons Cir
Ste B
Yukon, OK 73099
Phone (405) 324-0961
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.
-
- Rehabilitation Clinic/Center
- Yukon, OK
- NPI 1497178156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1780321919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 HAMPTON CT",
"city": "EL RENO",
"state": "OK",
"postal_code": "730365745",
"telephone_number": "405-990-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 COMMONS CIR STE B",
"city": "YUKON",
"state": "OK",
"postal_code": "730999538",
"telephone_number": "405-467-6782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "EMILY",
"middle_name": "NICOLE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.