Healthcare Provider Details

I. General information

NPI: 1548125990
Provider Name (Legal Business Name): JORDAN FRENCH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 PALMER CIR STE 100
NORMAN OK
73069-6351
US

IV. Provider business mailing address

2405 PALMER CIR STE 100
NORMAN OK
73069-6351
US

V. Phone/Fax

Practice location:
  • Phone: 405-561-7928
  • Fax: 405-310-9944
Mailing address:
  • Phone: 405-561-7928
  • Fax: 405-310-9944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-501480
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: