Provider Demographics
NPI:1558978726
Name:CHILDERS, KARI DAWN (BCBA)
Entity type:Individual
Prefix:MRS
First Name:KARI
Middle Name:DAWN
Last Name:CHILDERS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:KARI
Other - Middle Name:D
Other - Last Name:CHILDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NA
Mailing Address - Street 1:1402 BROOKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-1219
Mailing Address - Country:US
Mailing Address - Phone:580-850-1160
Mailing Address - Fax:
Practice Address - Street 1:1402 BROOKVIEW DR
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1219
Practice Address - Country:US
Practice Address - Phone:580-850-1160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12044665103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst