NPI 1235443102 · live from the CMS NPI Registry
Brandy J Black
Behavior Analyst in Oklahomacity, OK. National Provider Identifier 1235443102, active.
NPI record
| NPI | 1235443102 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2525 N.W. Expressway, Suite 624-A, Oklahomacity, OK 73112 |
| Practice phone | 405-242-5070 |
| Mailing address | 3000 S. 9th St, Lot 79, Purcell, OK 73080 |
| Enumerated | August 3, 2010 |
| Last updated | August 3, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.