Healthcare Provider Details

I. General information

NPI: 1437803764
Provider Name (Legal Business Name): AREANNA NOELLE COLEMAN M.A., BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2022
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11982 S MULBERRY CT
JENKS OK
74037-2181
US

IV. Provider business mailing address

4221 E 83RD PL
TULSA OK
74137-1810
US

V. Phone/Fax

Practice location:
  • Phone: 918-201-1865
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-72161
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: