Organization Active NPI

Momentum Behavioral Solutions

  • Behavior Analyst
  • Edmond, OK
National Provider Identifier
1861936767
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MOMENTUM BEHAVIORAL SOLUTIONS
Practice address
2449 NW 198TH St
Edmond, OK 73012-5236
Phone
(405) 693-5675
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Tiffanie Moore, BCBA, NCSP
Title
Behavior Analyst/Co-Owner
Phone
(405) 693-5675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2449 NW 198TH St
Edmond, OK 73012-5236

Mailing address

2449 NW 198TH St
Edmond, OK 73012-5236
Phone (405) 693-5675

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1861936767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 NW 198TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730125236",
            "telephone_number": "405-693-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 NW 198TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730125236",
            "telephone_number": "405-693-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM BEHAVIORAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/CO-OWNER",
        "authorized_official_telephone_number": "405-693-5675",
        "authorized_official_credential": "BCBA, NCSP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Dec 12, 2016; 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.