Healthcare Provider Details

I. General information

NPI: 1811471683
Provider Name (Legal Business Name): SARAH CRICHLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2018
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 36TH AVE NW
NORMAN OK
73072-3251
US

IV. Provider business mailing address

24 SW 89TH ST
OKLAHOMA CITY OK
73139-8510
US

V. Phone/Fax

Practice location:
  • Phone: 479-318-2172
  • Fax:
Mailing address:
  • Phone: 817-706-5016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: