Healthcare Provider Details

I. General information

NPI: 1134053523
Provider Name (Legal Business Name): BRILEY FLEMING
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S AIR DEPOT BLVD STE K-M
MIDWEST CITY OK
73110-4866
US

IV. Provider business mailing address

1200 S AIR DEPOT BLVD STE K-M
MIDWEST CITY OK
73110-4866
US

V. Phone/Fax

Practice location:
  • Phone: 405-857-8280
  • Fax:
Mailing address:
  • Phone: 405-857-8280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-529736
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: