Healthcare Provider Details

I. General information

NPI: 1700699022
Provider Name (Legal Business Name): LISA ELAINE PARENICA SCHOOLING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 S DOUGLAS BLVD
MIDWEST CITY OK
73130-5210
US

IV. Provider business mailing address

1029 FLAMINGO AVE
OKLAHOMA CITY OK
73127-5013
US

V. Phone/Fax

Practice location:
  • Phone: 405-905-5557
  • Fax:
Mailing address:
  • Phone: 405-905-5557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: