Brandy J Black
Individual provider Active NPI Behavior Analyst · Oklahomacity, OK
NPI 1235443102 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1235443102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2525 N.W. Expressway
Suite 624-a
Oklahomacity, OK 73112-0000 - Phone
- (405) 242-5070
- NPI assigned
- Aug 3, 2010
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
2525 N.W. Expressway
Suite 624-a
Oklahomacity, OK 73112-0000
Mailing address
3000 S. 9TH St
Lot 79
Purcell, OK 73080-0000
Phone (405) 615-0283
Other providers in Oklahomacity, OK
All providers in Oklahomacity, OK · Behavior Analyst in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. 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.