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SPENCER DAVID WIDEMAN
NPI 1962036251
Behavior Analyst in Tulsa, OK

Active since February 26, 2020
4908 S SHERIDAN RD, TULSA, OK 74145(918) 984-9153 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spencer David Wideman NPPES

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

SPENCER DAVID WIDEMAN (NPI 1962036251) is an individual behavior analyst provider in Tulsa, Oklahoma and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1962036251
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameSPENCER DAVID WIDEMAN
Location Address4908 S SHERIDAN RDTulsa, OK 74145-5712
Mailing Address1523 E 55th StTulsa, OK 74105-6918 · (918) 607-1024
Phone(918) 984-9153
Sole ProprietorNo
Enumeration DateFebruary 26, 2020
✔ NPI 1962036251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4908 S SHERIDAN RD, Tulsa, OK 74145
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Other Providers at the Same Location NPPES 20

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

HANNAH MILLER
Behavior Technician
4908 S SHERIDAN RD
TULSA, OK 74145
Tulsa County (918) 984-9153
ERIKA JIOVANA GARCIA
Behavior Technician
4908 S SHERIDAN RD
TULSA, OK 74145
Tulsa County (918) 984-9153
TORI JANE MCALLISTER
Behavior Technician
4908 S SHERIDAN RD
TULSA, OK 74145
Tulsa County (918) 984-9153
SHELBY DEANN CAMPBELL
Behavior Technician
4908 S SHERIDAN RD
TULSA, OK 74145
Tulsa County (918) 984-9153
LAUREN MARIE WILCOX
Behavior Technician
4908 S SHERIDAN RD
TULSA, OK 74145
Tulsa County (918) 984-9153
KILY CLOW
Behavior Technician
4908 S SHERIDAN RD
TULSA, OK 74145
Tulsa County (918) 984-9153
MALLORY SUE WELCH
Behavior Technician
4908 S SHERIDAN RD
TULSA, OK 74145
Tulsa County (918) 984-9153
MR. TRUMAN MCCOMBS MAXEY
Physical Therapy Assistant
4908 S SHERIDAN RD
TULSA, OK 74145
Tulsa County (918) 984-9153

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 Spencer Wideman's NPI number?

The NPI number for Spencer Wideman is 1962036251. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Spencer Wideman located?

Spencer Wideman practices at 4908 S Sheridan Rd, Tulsa, OK 74145. The listed phone number is (918) 984-9153.

What is Spencer Wideman'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 Spencer Wideman was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.