Victoria Jo Barnosky

Individual provider Active NPI Community/Behavioral Health Agency · Ada, OK

NPI 1265079552 · NPPES record last updated Dec 5, 2019

Key facts

NPI
1265079552
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
1301 N Oak Ave Apt 207
Ada, OK 74820-1218
Phone
(580) 210-3129
NPI assigned
Dec 5, 2019
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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

1301 N Oak Ave Apt 207
Ada, OK 74820-1218

Mailing address

PO Box 2225
Ada, OK 74821-2225
Phone (580) 210-3129

Other practice location 1

1400 hopped blvd
Ada, OK 74820-7482
Phone (580) 310-5719

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Ada Direct

Other providers in Ada, OK

All providers in Ada, OK · Community/Behavioral Health Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.