Organization Active NPI

Behavior Intervention Group LLC

  • Early Intervention Provider Agency
  • Tulsa, OK
National Provider Identifier
1841565751
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BEHAVIOR INTERVENTION GROUP LLC
Doing business as
BIG
Practice address
9832 S Vandalia Ave
Tulsa, OK 74137-4805
Phone
(918) 630-0296
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Melinda Lee Fisher Pohlenz, MSC SLT BCBA
Title
Director
Phone
(918) 630-0296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X OK Primary

Addresses

Primary practice location

9832 S Vandalia Ave
Tulsa, OK 74137-4805

Mailing address

9832 S Vandalia Ave
Tulsa, OK 74137-4805
Phone (918) 630-0296

Other names 1

  • BIG Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841565751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 S VANDALIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374805",
            "telephone_number": "918-630-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 S VANDALIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374805",
            "telephone_number": "918-630-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR INTERVENTION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FISHER POHLENZ",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-630-0296",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSC SLT BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.