Sydney Joiner

Individual provider Active NPI Behavior Technician · Edmond, OK

NPI 1619683612 · NPPES record last updated Jan 24, 2023

Key facts

NPI
1619683612
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) 562-3313
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
BC Behavioral Current
since Jan 29, 2023
Accepting new patients

Locations

2248 NW 164th St
Edmond, OK 73013
Phone (405) 562-3776

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Edmond, OK · Behavior Technician in Oklahoma

Sources for this page

Verify at the official NPI Registry.