Lisa Austin
Individual provider Active NPI Behavior Analyst · Antlers, OK
NPI 1164866802 · NPPES record last updated Apr 24, 2013
Key facts
- NPI
- 1164866802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 112 N High St
Antlers, OK 74523-2250 - Phone
- (580) 298-3001
- Fax
- (580) 298-5357
- NPI assigned
- Apr 24, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
112 N High St
Antlers, OK 74523-2250
Mailing address
112 N High St
Antlers, OK 74523-2250
Phone (580) 298-3001
Other providers in Antlers, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2013. 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.