Cayly F Chevalier

Individual provider Active NPI Behavior Technician · Edmond, OK

NPI 1124883566 · NPPES record last updated Feb 15, 2024

Key facts

NPI
1124883566
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2248 NW 164TH St
Edmond, OK 73013-8801
Phone
(405) 562-3776
Fax
(405) 562-3313
NPI assigned
Feb 15, 2024
Sex
Female
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

Practice roles

OrganizationSpecialtyStatusNew patients
BC Behavioral Current
since Feb 18, 2024
Accepting new patients

Locations

2248 NW 164th St
Edmond, OK 73013
Phone (405) 562-3776

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2248 NW 164TH St
Edmond, OK 73013-8801

Mailing address

2248 NW 164TH St
Edmond, OK 73013-8801
Phone (405) 562-3776

Other providers in Edmond, OK

All providers in Edmond, OK · Behavior Technician in Oklahoma

Sources for this page

Verify at the official NPI Registry.