Abegail Leann Daniels

Individual provider Active NPI Behavior Technician · Weatherford, OK

NPI 1689280604 · NPPES record last updated Oct 2, 2024

Key facts

NPI
1689280604
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
BACB1178447 (OK)
Practice address
2121 E Main St
Weatherford, OK 73096-6033
Phone
(405) 857-8280
NPI assigned
Sep 16, 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

State licenses

LicenseStateTypeSpecialty
BACB1178447OKMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Behavior Technician 106S00000X BACB1178447 OK Yes

Addresses

Primary practice location

2121 E Main St
Weatherford, OK 73096-6033

Mailing address

619 W C Ave
Elk City, OK 73644-3313
Phone (580) 821-2141

Other names

  • Abby Leann Daniels Professional name

Other providers in Weatherford, OK

All providers in Weatherford, OK · Behavior Technician in Oklahoma

Sources for this page

Verify at the official NPI Registry.