Active NPI
Sabrina Renea Ficklin
- Behavior Technician
- Ardmore, OK
National Provider Identifier
1609408897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- M080989998
- Practice address
- 1021 8TH Ave NW
Ardmore, OK 73401-4015 - Phone
- (580) 220-0857
- NPI assigned
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | M080989998 | OK | Primary |
Addresses
Primary practice location
1021 8TH Ave NW
Ardmore, OK 73401-4015
Mailing address
1021 8TH Ave NW
Ardmore, OK 73401-4015
Phone (580) 220-0857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M080989998 | Other | OK | STATE OF OKLAHOMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M080989998 | OK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1609408897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 8TH AVE NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734014015",
"telephone_number": "580-220-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 8TH AVE NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734014015",
"telephone_number": "580-220-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICKLIN",
"first_name": "SABRINA",
"middle_name": "RENEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "OK",
"license": "M080989998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OKLAHOMA",
"identifier": "M080989998",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.