Jarod D. Allen

Individual provider Active NPI Behavior Analyst · Purcell, OK

NPI 1417242595 · NPPES record last updated Nov 17, 2016

Key facts

NPI
1417242595
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
Outpatient Services-Purcell-1726 N Green Ave
Strong Family Development
Purcell, OK 73080
Phone
(405) 767-8940
Fax
(405) 767-8949
NPI assigned
Jun 16, 2011
Sex
Male
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

Outpatient Services-Purcell-1726 N Green Ave
Strong Family Development
Purcell, OK 73080

Mailing address

210 E. Main
Resources Management
Ada, OK 74820
Phone (580) 436-7211

Other providers in Purcell, OK

All providers in Purcell, OK · Behavior Analyst in Oklahoma

Sources for this page

Verify at the official NPI Registry.