| Behavioral Roots, Llc | |
|
617 Nw 32nd St Oklahoma City OK 73118-7342 | |
| (405) 215-9073 | |
| (405) 353-7002 |
| Full Name | Behavioral Roots, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 617 Nw 32nd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Sergio Antonio Flores (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4052159073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Roots, Llc 617 Nw 32nd St Oklahoma City OK 73118-7342 Ph: (405) 215-9073 | Behavioral Roots, Llc 617 Nw 32nd St Oklahoma City OK 73118-7342 Ph: (405) 215-9073 |
| NPI Number | 1477294049 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477294049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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