Active NPI
Madeleine Ozan, RBT
- Behavior Analyst
- Moore, OK
National Provider Identifier
1912524679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-71303
- Practice address
- 146 SW 134TH St
Moore, OK 73170-1488 - Phone
- (405) 265-9324
- NPI assigned
- Jun 29, 2020
- Last updated
- Feb 22, 2024
- 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 | RBT20125146 | OK | |
| Behavior Analyst | 103K00000X | 1-24-71303 | OK | Primary |
Addresses
Primary practice location
146 SW 134TH St
Moore, OK 73170-1488
Mailing address
1806 24TH Ave NW
Norman, OK 73069-6392
Phone (405) 482-1905
Other practice location 1
1806 24th Ave NW
Norman, OK 73069-6392
Phone (405) 482-1905
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT20125146 | OK | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
| Kid's Choice Therapies, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba KidsChoice Therapy and Play Center
- Health Service Clinic/Center
- Norman, OK
- NPI 1669008231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1912524679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 24TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696392",
"telephone_number": "405-482-1905",
"fax_number": "405-561-4123"
},
{
"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": "1806 24th Ave NW",
"address_purpose": "LOCATION",
"city": "Norman",
"state": "OK",
"postal_code": "730696392",
"country_code": "US",
"telephone_number": "405-482-1905",
"fax_number": "405-561-4123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OZAN",
"first_name": "MADELEINE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "RBT20125146",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "1-24-71303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 22, 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.