Shea Coats

Individual provider Active NPI Behavior Technician · Weatherford, OK

NPI 1902620180 · NPPES record last updated Nov 13, 2024

Key facts

NPI
1902620180
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-392428 (OK)
Practice address
2121 E Main St Ste 1
Weatherford, OK 73096-6030
Phone
(580) 414-3312
NPI assigned
Nov 13, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

State licenses

LicenseStateTypeSpecialty
RBT-24-392428OKMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Kid'S Choice Therapies, LLC Past
since Nov 17, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-392428 OK Yes

Addresses

Primary practice location

2121 E Main St Ste 1
Weatherford, OK 73096-6030

Mailing address

2121 E Main St Ste 1
Weatherford, OK 73096-6030

Other providers in Weatherford, OK

All providers in Weatherford, OK · Behavior Technician in Oklahoma

Sources for this page

Verify at the official NPI Registry.