Hadie Shaye Dudley
Individual provider Active NPI Behavior Technician · Davis, OK
NPI 1972308005 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1972308005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5524 Fairview Rd
Davis, OK 73030-9671 - Phone
- (580) 618-6626
- NPI assigned
- Feb 13, 2025
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5524 Fairview Rd
Davis, OK 73030-9671
Mailing address
5524 Fairview Rd
Davis, OK 73030-9671
Phone (580) 618-6626
Other providers in Davis, OK
- Burford Manor
- Danielle Elizabeth Cox
- Crossway Counseling Services LLC
- Davis Health and Rehabilitation, LLC
- Davis Public Schools
- Amanda Felder
- Focus Learning Systems
- Sydney Fullerton
- Zachary Green
- Stephanie Michelle Hammons
All providers in Davis, 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 Feb 13, 2025. 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.