William Marcus Abernathy, MA

Individual provider Active NPI Behavior Technician · Tulsa, OK

NPI 1013598168 · NPPES record last updated Apr 20, 2021

Key facts

NPI
1013598168
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4934 E 73Rd St
Tulsa, OK 74136-7007
Phone
(918) 913-0430
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sangha, Inc. Current
since Apr 25, 2021
Accepting new patients

Locations

4934 E 73rd St
Tulsa, OK 74136
Phone (918) 913-0430

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

4934 E 73Rd St
Tulsa, OK 74136-7007

Mailing address

7519 E 97TH St
Tulsa, OK 74133-6408
Phone (480) 749-4441

Other providers in Tulsa, OK

All providers in Tulsa, OK · Behavior Technician in Oklahoma

Sources for this page

Verify at the official NPI Registry.