Patrice Denice Azebbar

Individual provider Active NPI Behavior Analyst · Midwest City, OK

NPI 1942643580 · NPPES record last updated Apr 13, 2013

Key facts

NPI
1942643580
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
4325 Meadowpark Dr
Midwest City, OK 73110-7024
Phone
(405) 886-4972
NPI assigned
Apr 13, 2013
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 Analyst 103K00000X Yes

Addresses

Primary practice location

4325 Meadowpark Dr
Midwest City, OK 73110-7024

Mailing address

4325 Meadowpark Dr
Midwest City, OK 73110-7024
Phone (405) 886-4972

Other names

  • Ms. Patrice Denice Williams Former name

Other providers in Midwest City, OK

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

Sources for this page

Verify at the official NPI Registry.