NPI 1669722062 · live from the CMS NPI Registry
Audrey Aurora Bevenue, RSS
Behavior Analyst in Tulsa, OK. National Provider Identifier 1669722062, active.
NPI record
| NPI | 1669722062 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2325 S Harvard, Tulsa, OK 74114 |
| Practice phone | 918-712-4301 |
| Mailing address | 650 S Peoria, Tulsa, OK 74120 |
| Enumerated | September 12, 2012 |
| Last updated | January 31, 2014 |
| Sole proprietor | No |
| Other names | Audrey Bevenue |
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.