Brooklyn Shanae Boyd
Individual provider Active NPI Behavior Technician · Norman, OK
NPI 1225628159 · NPPES record last updated Jan 25, 2021
Key facts
- NPI
- 1225628159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2240 36TH Ave NW
Norman, OK 73072-3251 - Phone
- (405) 253-0071
- NPI assigned
- Jan 25, 2021
- 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
2240 36TH Ave NW
Norman, OK 73072-3251
Mailing address
2240 36TH Ave NW
Norman, OK 73072-3251
Other providers in Norman, OK
- Sophia Bowie
- Jon Ryan Bowman
- Kimberly Ann Bowman
- Aaron Lee Boyd
- Amanda Marie Boyd
- Caitlin Boyd
- Danny Kent Gleeman Boyd
- Harry S Boyd
- Lisa Jeanette Boyd
- Ty Boyd
All providers in Norman, OK · Behavior Technician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2021. 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.