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ROOSEVELT PREMIER THERAPY
NPI 1356188692
Behavior Analyst in Moore, OK

Active since July 12, 2024
1120 N EASTERN AVE STE 108, MOORE, OK 73160(405) 735-7162 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, Jul 12, 2024 (2 updates tracked since 2024).

About Roosevelt Premier Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOSEVELT PREMIER THERAPY (NPI 1356188692) is a healthcare organization registered as a behavior analyst in Moore, Oklahoma and active in the NPI registry since July 2024. The organization lists Selica Granderson, Director, as its authorized official.

NPPES Registry Identity

NPI1356188692
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameROOSEVELT PREMIER THERAPY
Location Address1120 N EASTERN AVE STE 108Moore, OK 73160-5856
Mailing AddressPo Box 325Hutto, TX 78634-0325 · (601) 331-4463
Phone(405) 735-7162
Organization SubpartNo
Authorized OfficialSelica GrandersonDirector · (601) 331-4463
Enumeration DateJuly 12, 2024
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1356188692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedArt TherapistTaxonomy 221700000X
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedRecreation TherapistTaxonomy 225800000X
Also ListedMusic TherapistTaxonomy 225A00000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
1120 N EASTERN AVE STE 108, Moore, OK 73160
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROOSEVELT FAMILY CARE & LEARNING CENTER
Day Training, Developmentally Disabled Services
1120 N EASTERN AVE STE 108
MOORE, OK 73160
Cleveland County (601) 331-4463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roosevelt Premier Therapy's NPI number?

The NPI number for Roosevelt Premier Therapy is 1356188692. It was assigned to this organization in the NPPES registry on July 12, 2024.

Where is Roosevelt Premier Therapy located?

Roosevelt Premier Therapy is located at 1120 N Eastern Ave Ste 108, Moore, OK 73160. The listed phone number is (405) 735-7162.

What is Roosevelt Premier Therapy's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Roosevelt Premier Therapy was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.