Kristian Angle

Individual provider Active NPI Behavior Technician · Norman, OK

NPI 1760179402 · NPPES record last updated Apr 21, 2023

Key facts

NPI
1760179402
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2405 Palmer Cir Ste 100
Norman, OK 73069-6351
Phone
(405) 561-7928
NPI assigned
Apr 21, 2023
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2405 Palmer Cir Ste 100
Norman, OK 73069-6351

Mailing address

2405 Palmer Cir Ste 100
Norman, OK 73069-6351

Other providers in Norman, OK

All providers in Norman, OK · Behavior Technician in Oklahoma

Sources for this page

Verify at the official NPI Registry.