Oliver Ifeanyi Anyabolu

Individual provider Active NPI Behavior Analyst · Oklahoma City, OK

NPI 1285901231 · NPPES record last updated Nov 18, 2011

Key facts

NPI
1285901231
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
8901 Northridge Ter
Oklahoma City, OK 73132-3261
Phone
(405) 413-3987
NPI assigned
Nov 18, 2011
Sex
Male
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
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

8901 Northridge Ter
Oklahoma City, OK 73132-3261

Mailing address

8901 Northridge Ter
Oklahoma City, OK 73132-3261
Phone (405) 413-3987

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Behavior Analyst in Oklahoma

Sources for this page

Verify at the official NPI Registry.