Codi Renne Canning, B.S./ CBHCM
Individual provider Active NPI Behavior Analyst · Guthrie, OK
NPI 1003042771 · NPPES record last updated Jun 8, 2009
Key facts
- NPI
- 1003042771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 4710 S Division St
Guthrie, OK 73044-6506 - Phone
- (405) 282-5524
- Fax
- (405) 282-4652
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Community Services | Past | Accepting new patients | |
| Logan Community Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
4710 S Division St
Guthrie, OK 73044-6506
Mailing address
4710 S Division St
PO Box 1558
Guthrie, OK 73044-6506
Phone (405) 282-5524
Other providers in Guthrie, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.