| Momentum Behavioral Solutions | |
|
2449 Nw 198th St Edmond OK 73012-5236 | |
| (405) 693-5675 | |
| Not Available |
| Full Name | Momentum Behavioral Solutions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2449 Nw 198th St, Edmond, Oklahoma |
| Authorized Official Name and Position | Tiffanie Moore (BEHAVIOR ANALYST/CO-OWNER) |
| Authorized Official Contact | 4056935675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Behavioral Solutions 2449 Nw 198th St Edmond OK 73012-5236 Ph: (405) 693-5675 | Momentum Behavioral Solutions 2449 Nw 198th St Edmond OK 73012-5236 Ph: (405) 693-5675 |
| NPI Number | 1861936767 |
|---|---|
| Provider Enumeration Date | 12/12/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861936767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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