NPI 1417630724 · live from the CMS NPI Registry
Bcb West LLC
Behavior Analyst in Edmond, OK. National Provider Identifier 1417630724, active.
NPI record
| NPI | 1417630724 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3517 Nw 164th Ter, Edmond, OK 73013 |
| Practice phone | 405-562-3776 |
| Enumerated | August 11, 2023 |
| Last updated | August 11, 2023 |
| Authorized official | Lindsay Stuart, Operations Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Physical Therapy | 261QP2000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.