David Dykeman
Individual provider Active NPI Behavior Analyst · Hugo, OK
NPI 1699198796 · NPPES record last updated Jan 24, 2014
Key facts
- NPI
- 1699198796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 501 E Jackson St Apt 1
Hugo, OK 74743-4047 - Phone
- (405) 888-0388
- NPI assigned
- Jan 24, 2014
- Sex
- Male
- 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
501 E Jackson St Apt 1
Hugo, OK 74743-4047
Mailing address
501 E Jackson St Apt 1
Hugo, OK 74743-4047
Phone (405) 888-0388
Other providers in Hugo, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2014. 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.