Rene Marie Daman, PT, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-21787 Issued in OK

Practice address

3700 Derby Run Drive
Edmond, OK 73034

Phone

(405) 590-7127

Fax

(405) 271-1707

NPI assigned

Feb 19, 2008

Last updated

May 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Intentional Lives Therapy

  • Behavior Analyst
  • Edmond, OK
  • NPI 1518604966
  NPD Authorized official

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1942478359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 DERBY RUN DRIVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-590-7127",
            "fax_number": "405-271-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 DERBY RUN DRIVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-590-7127",
            "fax_number": "405-271-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMAN",
        "first_name": "RENE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2111",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2111",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-16-21787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Family Services (Dallas Restorative Family Services)
• Dallas Restoration Services
• Ebony Iman Dallas, MFA
• Viola Dallas, LADC UNDER SUPERVISI
• Wayne Franklin Dallas II, B.F.A.
• Keren Elise Damarism., M.C.
• Jennifer Marie Fay Damitsian, NP
• Damon R. Johnson, DDS, PC
• Vernell Dancy
• Angela Marie Danel, MOTRL

• Behavior Analyst in Edmond, OK
• Providers in Edmond, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; 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.