| Bcb West Llc | |
|
3517 Nw 164th Ter Edmond OK 73013-9471 | |
| (405) 562-3776 | |
| Not Available |
| Full Name | Bcb West Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3517 Nw 164th Ter, Edmond, Oklahoma |
| Authorized Official Name and Position | Lindsay Stuart (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 4055623776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcb West Llc 3517 Nw 164th Ter Edmond OK 73013-9471 Ph: () - | Bcb West Llc 3517 Nw 164th Ter Edmond OK 73013-9471 Ph: (405) 562-3776 |
| NPI Number | 1417630724 |
|---|---|
| Provider Enumeration Date | 08/11/2023 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417630724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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