NPI 1477294049 · live from the CMS NPI Registry
Behavioral Roots, LLC
Behavior Analyst in Oklahoma City, OK. National Provider Identifier 1477294049, active.
NPI record
| NPI | 1477294049 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 617 Nw 32nd St, Oklahoma City, OK 73118 |
| Practice phone | 405-215-9073 |
| Enumerated | April 6, 2022 |
| Last updated | April 6, 2022 |
| Authorized official | Sergio Flores, Clinical Director |
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.