Samuel Quick

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

TBD Issued in OK

Practice address

6831 S Peoria Ave
Tulsa, OK 74136-3620

Phone

(539) 525-0715

Fax

(918) 512-7169

NPI assigned

Sep 6, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Forever Learning ABA, LLC

  • Behavior Analyst
  • Tulsa, OK
  • NPI 1396431144
  NPD

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1972338002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363620",
            "telephone_number": "539-525-0715",
            "fax_number": "918-512-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363620",
            "telephone_number": "539-525-0715",
            "fax_number": "918-512-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Anne Queen, LPC-S, NCC
• Rebecca Dawn Queen
• Samira Polina Queen
• Quest Counseling Inc
• Gary William Quick
• Krista Deanne Quigley, MED
• Carolina Quijada
• Quik Care Inc (Clinic of Family Medicine)
• Brandon Edward Quinn, DO
• Iliana Quinones, BSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.