NPI 1518383421 · live from the CMS NPI Registry
Alissa Antwine
Behavior Analyst in Yukon, OK. National Provider Identifier 1518383421, active.
NPI record
| NPI | 1518383421 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 11512 Buckingham Ct, Yukon, OK 73099 |
| Practice phone | 405-818-4107 |
| Enumerated | March 16, 2014 |
| Last updated | March 16, 2014 |
| 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.