NPI 1649917394 · live from the CMS NPI Registry
Alpha Autism Therapy, LLC
Behavior Analyst in Edmond, OK. National Provider Identifier 1649917394, active.
NPI record
| NPI | 1649917394 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2524 N Broadway, Suite 528, Edmond, OK 73034 |
| Practice phone | 405-987-7354 |
| Enumerated | May 15, 2022 |
| Last updated | May 14, 2025 |
| Authorized official | Katrina Gittins, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health | 251S00000X | — |
| Early Intervention Provider Agency | 252Y00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.