Robin L Chaloux

Individual provider Active NPI Behavior Technician · Mead, OK

NPI 1013540293 · NPPES record last updated Feb 17, 2020

Key facts

NPI
1013540293
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
M084134066 (OK)
Practice address
470 Parker Rd
Mead, OK 73449-5900
Phone
(580) 634-1324
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
M084134066OKMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X M084134066 OK Yes

Addresses

Primary practice location

470 Parker Rd
Mead, OK 73449-5900

Mailing address

470 Parker Rd
Mead, OK 73449-5900
Phone (580) 634-1324

Other providers in Mead, OK

All providers in Mead, OK · Behavior Technician in Oklahoma

Sources for this page

Verify at the official NPI Registry.