Active NPI
Phoenix Rayne Crismon
- Behavior Technician
- Edmond, OK
National Provider Identifier
1922964857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 416 W 15TH St Ste 600
Edmond, OK 73013-3672 - Phone
- (479) 318-2300
- NPI assigned
- Jan 5, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
416 W 15TH St Ste 600
Edmond, OK 73013-3672
Mailing address
14300 N May Ave Apt 15204
Oklahoma City, OK 73134-5047
Phone (734) 934-0262
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1922964857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 N MAY AVE APT 15204",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731345047",
"telephone_number": "734-934-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 W 15TH ST STE 600",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133672",
"telephone_number": "479-318-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISMON",
"first_name": "PHOENIX",
"middle_name": "RAYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-05",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"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 Jan 5, 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.