Travis Eugene Jones
Individual provider Active NPI Behavior Analyst · Okemah, OK
NPI 1699103606 · NPPES record last updated Oct 30, 2013
Key facts
- NPI
- 1699103606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 209 W Broadway St
Okemah, OK 74859-2618 - Phone
- (918) 623-2922
- NPI assigned
- Oct 30, 2013
- Sex
- Male
- 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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
209 W Broadway St
Okemah, OK 74859-2618
Mailing address
209 W Broadway St
Okemah, OK 74859-2618
Phone (918) 623-2922
Other providers in Okemah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 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.