NPI 1972863660 · live from the CMS NPI Registry
Lavonne Renae Bates-Craddock
Behavior Analyst in Oklahoma City, OK. National Provider Identifier 1972863660, active.
NPI record
| NPI | 1972863660 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3004 Nw 68th St, Oklahoma City, OK 73116 |
| Practice phone | 405-837-4312 |
| Enumerated | May 29, 2012 |
| Last updated | May 29, 2012 |
| 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.