Heather Ranee Anthony
Individual provider Active NPI Behavior Technician · Broken Arrow, OK
NPI 1568083244 · NPPES record last updated Jan 20, 2021
Key facts
- NPI
- 1568083244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3501 W Kenosha St
Broken Arrow, OK 74012-8948 - Phone
- (855) 782-7822
- NPI assigned
- May 4, 2020
- Sex
- Female
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3501 W Kenosha St
Broken Arrow, OK 74012-8948
Mailing address
3501 W Kenosha St
Broken Arrow, OK 74012-8948
Other providers in Broken Arrow, OK
- Ginger Andresen
- Becky Andrews
- Jonathan David Angieri I
- Anji Brassfield O.D. P.C.
- Gaurangi Manek Anklesaria
- Lisa Anton
- Apex Hormones and Wellness, LLC
- Apex Wound Specialists LLC
- Apex Wound Specialists LLC
- Angelo Argento
All providers in Broken Arrow, 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 Jan 20, 2021. 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.