Maryssa Ainsworth, RBT
Individual provider Active NPI Behavior Technician · Norman, OK
NPI 1831920370 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1831920370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-367999 (OK)
- Practice address
- 2405 Palmer Cir Ste 100
Norman, OK 73069-6351 - Phone
- (405) 561-7928
- Fax
- (405) 310-9944
- NPI assigned
- Aug 7, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-367999 | OK | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-367999 | OK | 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
Phone (405) 561-7928
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All providers in Norman, OK · Behavior Technician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. 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.