Kenneth Good
Individual provider Active NPI Assistant Behavior Analyst · Stigler, OK
NPI 1871221069 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1871221069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- Practice address
- 904 NW 4TH St
Stigler, OK 74462-1653 - Phone
- (918) 967-8223
- NPI assigned
- Aug 15, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homebased Services and Resources | Current |
Accepting new patients |
Locations
904 NW 4th St
Stigler, OK 74462
Phone (918) 694-1131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Yes |
Addresses
Primary practice location
904 NW 4TH St
Stigler, OK 74462-1653
Mailing address
904 NW 4TH St
Stigler, OK 74462-1653
Phone (918) 967-8223
Other providers in Stigler, OK
- Jesse A Gilmore
- Cheyenne Glover
- Brandy Goff
- Brittany Dawn Goff
- Christy Good
- Latonya Goodman
- Green Country Hospitalists, PC
- Danny Wayne Green
- Jo Ann Green
- Bradley Joe Guilbeaux
All providers in Stigler, OK · Assistant Behavior Analyst 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 15, 2022. 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.