Healthcare Provider Details

I. General information

NPI: 1205765211
Provider Name (Legal Business Name): NOVARAS INSTITUTE OF APPLIED PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7606 S 88TH EAST AVE
TULSA OK
74133-3727
US

IV. Provider business mailing address

7606 S 88TH EAST AVE
TULSA OK
74133-3727
US

V. Phone/Fax

Practice location:
  • Phone: 539-240-4735
  • 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 Number
License Number State

VIII. Authorized Official

Name: ANTHONY OWENS
Title or Position: OWNER
Credential: NCSP, BCBA
Phone: 539-240-4735