Jeremiah Ausby
Individual provider Active NPI Behavior Technician · Edmond, OK
NPI 1508514548 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1508514548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2248 NW 164TH St
Edmond, OK 73013-8801 - Phone
- (405) 562-3776
- Fax
- (405) 562-3133
- NPI assigned
- Mar 17, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BC Behavioral | Current |
Accepting new patients |
Locations
2248 NW 164th St
Edmond, OK 73013
Phone (405) 562-3776
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2248 NW 164TH St
Edmond, OK 73013-8801
Mailing address
2248 NW 164TH St
Edmond, OK 73013-8801
Phone (405) 562-3776
Other providers in Edmond, OK
- Jamie Atkins
- Tally Atkinson
- John T Atwood
- Taylor Megan Atwood
- Molly Auld
- Barret Austin
- Jarrett R Austin
- Katrina Austin
- Autism Concepts Inc.
- Faye Autry
All providers in Edmond, 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 Mar 17, 2022. 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.