Healthcare Provider Details

I. General information

NPI: 1659293249
Provider Name (Legal Business Name): HANNAH MARIE PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 36TH AVE NW # 100
NORMAN OK
73072-3251
US

IV. Provider business mailing address

2240 36TH AVE NW # 100
NORMAN OK
73072-3251
US

V. Phone/Fax

Practice location:
  • Phone: 405-701-0003
  • Fax:
Mailing address:
  • Phone: 405-701-0003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number1-26-2833543
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: