Organization Active NPI

Koa Behavioral Health LLC

  • Behavior Analyst
  • Collinsville, OK
National Provider Identifier
1881557775
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KOA BEHAVIORAL HEALTH LLC
Practice address
11917 N 130TH East Ave
Collinsville, OK 74021-1103
Phone
(808) 348-5397
NPI assigned
Dec 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Mrs. Alisa Kuka, M.ED, BCBA, LBANPI 1275267627
Title
Owner
Phone
(808) 348-5397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11917 N 130TH East Ave
Collinsville, OK 74021-1103

Mailing address

11917 N 130TH E Ave
Collinsville, OK 74021
Phone (808) 348-5397

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": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1881557775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11917 N 130TH E AVE",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "74021",
            "telephone_number": "808-348-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11917 N 130TH EAST AVE",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740211103",
            "telephone_number": "808-348-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-07",
        "status": "A",
        "authorized_official_last_name": "KUKA",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-348-5397",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, BCBA, LBA"
    },
    "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 Collinsville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.