| Live Wires Behavioral Center | |
|
1509 Brookwood Ave Suite A Duncan OK 73533-1316 | |
| (580) 786-4538 | |
| (580) 606-6642 |
| Full Name | Live Wires Behavioral Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1509 Brookwood Ave, Duncan, Oklahoma |
| Authorized Official Name and Position | Meredith Ann Albin (OWNER/OPERATOR) |
| Authorized Official Contact | 5807864538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Wires Behavioral Center 1509 Brookwood Ave Suite A Duncan OK 73533-1316 Ph: (580) 786-4538 | Live Wires Behavioral Center 1509 Brookwood Ave Suite A Duncan OK 73533-1316 Ph: (580) 786-4538 |
| NPI Number | 1285070300 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 05/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285070300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0-11-4294 (Oklahoma) | Primary |
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