Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellyn Lara

Individual provider Behavior Technician · NPI 1306586672

Kellyn Lara is a Behavior Technician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2022.

Licensed in
OK
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2121 S 125th East Ave Ste 106
Tulsa, OK 74129-5800
Phone: (918) 574-8442
Fax: (619) 374-7134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OK)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1306586672
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417

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