MEDICARE: KYMONIE NELSON M.S., BCBA, LBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst		OK
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1609339597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYMONIE NELSON M.S., BCBA, LBA

Provider Business Mailing Address
First Line	:	6100 S WALKER AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-7026
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 HOPPE BLVD STE 3
Second Line	:
City	:	ADA
State	:	OK
Zip	:	74820-2319
Country	:	US
Telephone Number	:	405-857-8280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2019
Last Update Date	:	01/23/2026

Similar Medicare Providers

1689451551 — JOLIE FRY
Practice Location Address:

1300 HOPPE BLVD STE 3
ADA, OK
74820-2319

Practice Phone: 405-857-8280
Practice Fax:

1770440521 — TIFFANIE GARIEPY
Practice Location Address:

1300 HOPPE BLVD STE 3
ADA, OK
74820-2319

Practice Phone: 405-857-8280
Practice Fax:

1669339412 — RILEY MCBRAYER
Practice Location Address:

1300 HOPPE BLVD STE 3
ADA, OK
74820-2319

Practice Phone: 405-857-8280
Practice Fax:

1225069925 — MR. KENNETH LYNN GANDY MS, LPC
Practice Location Address:

1300 HOPPE BLVD STE 5
ADA, OK
74820-2319

Practice Phone: 580-436-1222
Practice Fax: 580-436-1333

1588968275 — CHICKASAW NATION - FAMILY SERVICES
Practice Location Address:

1300 HOPPE BLVD STE 1
ADA, OK
74820-2319

Practice Phone: 580-436-7211
Practice Fax: 580-272-5757

1568740405 — JORDAN ROBERT REYNOLDS
Practice Location Address:

1300 HOPPE BLVD STE 6
ADA, OK
74820-2319

Practice Phone: 580-399-7653
Practice Fax:

Directions to “ KYMONIE NELSON M.S., BCBA, LBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.