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Avery Johnson

Behavior Technician β€’ Guthrie, OK

Active NPI 1700512969 Individual Practitioner Female Practitioner
Practice location in NPPES

11520 Wolf Creek Rd
Guthrie, OK 730443527

Call 4059002308 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

11520 Wolf Creek Rd

Guthrie, OK 730443527

Telephone 4059002308

NPI first issued

2022

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 Guthrie and Oklahoma

1 active clinicians are listed under Behavior Technician with a practice address in Guthrie, OK (5,998 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

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: 2023-12-04
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location December 04, 2023

Registered at 11520 WOLF CREEK RD, GUTHRIE, OK 730443527 (Tel: 4059002308)

πŸ“
Updated Business Mailing Address December 04, 2023

Registered at 11520 WOLF CREEK RD, GUTHRIE, OK 730443527

βœ…
NPI Profile Active July 28, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 28, 2022

Registered at 250 NW 76TH DR, GAINESVILLE, FL 326076668 (Tel: 3525056363)

πŸ“
Business Mailing Address (Initial Record) July 28, 2022

Registered at 250 NW 76TH DR, GAINESVILLE, FL 326076668 (Tel: 3525056363)

πŸ‘€
Provider Name / Credentials (Initial Record) July 28, 2022

Recorded as AVERY JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration July 28, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700512969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2022
Last Update: December 04, 2023
Sole Proprietor: Yes

Mailing Address

11520 Wolf Creek Rd

Guthrie, OK 730443527

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.