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Deactivated NPI 1659803914 Deactivated / Inactive NPI Female Practitioner

Mary Cannon

Behavior Analyst • Sapulpa, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Cannon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2017
NPI Deactivation Date June 18, 2018
Total Practice Duration ~1 Years of Practice (2017 – 2018)

Professional Overview & Biography Verified Profile Summary

Mary Cannon was a registered Behavior Analyst practicing in Sapulpa, OK. Throughout an active medical career spanning 1 years, Mary Cannon provided care at the practice location at 23 E ROSS AVE until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

23 E Ross Ave

Sapulpa, OK 740666423

Telephone 9182164999
Associated Practice Facility / Clinic
🏢 Creoks Mental Health Services Facility NPI 1912120452

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Sapulpa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
41 Specialists

Practicing in Sapulpa, OK (1840 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ella Ness

Registered Nurse

NPI 1003581224
Katherine Morrison

Registered Nurse

NPI 1013318369
April Wolfe , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1013663905

Registered Nurse

Carla Magee

Counselor

NPI 1023485448
Gene Davis , LPN

Licensed Vocational Nurse

NPI 1023815479

Licensed Practical Nurse

Audrey Little

Counselor

NPI 1043662026

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active March 28, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 28, 2017

Registered at 23 E ROSS AVE, SAPULPA, OK 740666423 (Tel: 9182164999)

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Updated Business Mailing Address March 28, 2017

Registered at 23 E ROSS AVE, SAPULPA, OK 740666423

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Provider Name / Credentials Updated March 28, 2017

Recorded as MARY CANNON

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Behavior Analyst

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Initial NPI Registration & Enumeration March 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659803914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2017
Last Update: March 28, 2017
Deactivation Date: June 18, 2018

Mailing Address

23 E Ross Ave

Sapulpa, OK 740666423

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.