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Crystal Lissuzzo , BCBA

Behavior Analyst β€’ Edmond, OK

Active NPI 1861844755 Individual Practitioner Female Practitioner
Practice location in NPPES

16538 N May Ave
Edmond, OK 730129007

Call 4052530071 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

16538 N May Ave

Edmond, OK 730129007

Telephone 4052530071
Organization at the Same NPPES Address or Phone
Hopebridge Llc Facility NPI 1649939794

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Austin, TX; Edmond, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Edmond and Oklahoma

148 active clinicians are listed under Behavior Analyst with a practice address in Edmond, OK (1,785 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Edmond

0% of these 148 clinicians have the CMS telehealth indicator.

0.7% of these 148 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-18
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Secondary Practice Locations

100 Congress Ave, Suite 2000

Austin, TX 787014072

Phone: 8888809720

17613 Hampton Park Dr Unit A

Edmond, OK 730120688

Phone: 2192422548

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ‘€
Provider Name / Credentials Updated August 18, 2021

Recorded as CRYSTAL LISSUZZO, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2021

Behavior Analyst

πŸ“
Updated Practice Location February 22, 2021

Registered at 16538 N MAY AVE, EDMOND, OK 730129007 (Tel: 4052530071)

πŸ“
Updated Business Mailing Address February 22, 2021

Registered at 16538 N MAY AVE, EDMOND, OK 730129007 (Tel: 4052530071)

πŸ“
Updated Practice Location September 26, 2019

Registered at 17613 HAMPTON PARK DR UNIT A, EDMOND, OK 730120688 (Tel: 2192422548)

πŸ“
Updated Business Mailing Address September 26, 2019

Registered at 13905 TECHNOLOGY DR STE A1, OKLAHOMA CITY, OK 731341054 (Tel: 5397770940)

πŸ‘€
Provider Name / Credentials Updated September 26, 2019

Recorded as CRYSTAL PEREZ, BCBA

βœ…
NPI Profile Active July 05, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 05, 2016

Registered at 100 CONGRESS AVE, SUITE 2000, AUSTIN, TX 787014072 (Tel: 8888809720)

πŸ“
Business Mailing Address (Initial Record) July 05, 2016

Registered at 500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 334411814 (Tel: 8888809270)

πŸ‘€
Provider Name / Credentials (Initial Record) July 05, 2016

Recorded as CRYSTAL PEREZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2016

Developmental Therapist

🟒
Initial NPI Registration & Enumeration July 05, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861844755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2016
Last Update: August 18, 2021
Sole Proprietor: No

Mailing Address

16538 N May Ave

Edmond, OK 730129007

Phone: 4052530071

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.