NPI 1578861902 · live from the CMS NPI Registry
Craig Anthony Beasley
Behavior Analyst in Edmond, OK. National Provider Identifier 1578861902, active.
NPI record
| NPI | 1578861902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4900 Nw 161st St, Edmond, OK 73013 |
| Practice phone | 405-823-2319 |
| Enumerated | March 9, 2011 |
| Last updated | March 9, 2011 |
| Sole proprietor | No |
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.