Individual provider Active NPI

Bonny Reibert, BCBA

  • Behavior Analyst
  • Tulsa, OK
National Provider Identifier
1871182915
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-54179 Issued in OK
Practice address
9902 E 43Rd St Ste a
Tulsa, OK 74146-4756
Phone
(918) 280-9072
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT20145875 OK
Behavior Analyst 103K00000X 1-21-54179 OK Primary

Addresses

Primary practice location

9902 E 43Rd St Ste a
Tulsa, OK 74146-4756

Mailing address

7904 S Elder Ave
Broken Arrow, OK 74011-8272

Other identifiers 2

IdentifierTypeStateIssuer
200868060AMedicaidOK
822465485MedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL all Direct

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

State licenses

LicenseStateTypeSpecialty
RBT20145875OKMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1871182915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 S ELDER AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740118272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9902 E 43RD ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741464756",
            "telephone_number": "918-280-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIBERT",
        "first_name": "BONNY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT20145875",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-21-54179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868060A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822465485",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "all",
            "affiliation": "N",
            "endpointDescription": "all",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 Liberty Ln",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730349432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Aug 7, 2026; 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.