Sherry Buzzard
Individual provider Active NPI Behavior Analyst · Poteau, OK
NPI 1639508583 · NPPES record last updated Nov 1, 2013
Key facts
- NPI
- 1639508583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2505 N Broadway St
Poteau, OK 74953-2050 - Phone
- (918) 721-0380
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
2505 N Broadway St
Poteau, OK 74953-2050
Mailing address
210 Oak St
Poteau, OK 74953-2339
Phone (918) 721-0380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200497090A | Medicaid | OK |
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2013. 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.