NPI 1992375497 · live from the CMS NPI Registry
Brandon Banta
Behavior Analyst in Norman, OK. National Provider Identifier 1992375497, active.
NPI record
| NPI | 1992375497 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1012 24th Ave Nw Ste 100, Norman, OK 73069 |
| Practice phone | 855-223-7123 |
| Mailing address | Po Box 33568, San Diego, CA 92163 |
| Enumerated | June 28, 2021 |
| Last updated | June 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-23-14245 (OK) |
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 1-24-73358 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.