Active NPI
Laurissa Folger, LBA
- Behavior Analyst
- Moore, OK
National Provider Identifier
1851996334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-70664
- Practice address
- 146 SW 134TH St
Moore, OK 73170-1488 - Phone
- (405) 265-9324
- NPI assigned
- Dec 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-24-70664 | OK | Primary |
Addresses
Primary practice location
146 SW 134TH St
Moore, OK 73170-1488
Mailing address
1900 E 15TH St Ste 800B
Edmond, OK 73013-6682
Phone (405) 455-6868
Other practice location 1
1212 S Air Depot Blvd Ste 9
Midwest City, OK 73110-4860
Phone (405) 455-6868 ext. 2
Other names 1
- Laurissa Johnson
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 |
|---|---|---|---|
| Hopebridge LLC | Behavior Analyst | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1851996334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E 15TH ST STE 800B",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136682",
"telephone_number": "405-455-6868",
"fax_number": "405-562-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 SW 134TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731701488",
"telephone_number": "405-265-9324"
}
],
"practiceLocations": [
{
"address_1": "1212 S Air Depot Blvd Ste 9",
"address_purpose": "LOCATION",
"city": "Midwest City",
"state": "OK",
"postal_code": "731104860",
"country_code": "US",
"telephone_number": "405-455-6868 x2",
"fax_number": "405-562-3444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOLGER",
"first_name": "LAURISSA",
"credential": "LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "1-24-70664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURISSA",
"last_name": "JOHNSON",
"credential": "RBT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.