Lindsey Renee Bales

Individual provider Active NPI Behavior Analyst · Ponca City, OK

NPI 1881056232 · NPPES record last updated Mar 24, 2016

Key facts

NPI
1881056232
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
620 W Grand Ave
Ponca City, OK 74601-5123
Phone
(580) 762-1462
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Past Accepting new patients
Bridgeway, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

620 W Grand Ave
Ponca City, OK 74601-5123

Mailing address

620 W Grand Ave
Ponca City, OK 74601-5123
Phone (580) 762-1462

Other providers in Ponca City, OK

All providers in Ponca City, OK · Behavior Analyst in Oklahoma

Sources for this page

Verify at the official NPI Registry.