Healthcare Provider Details

I. General information

NPI: 1861102709
Provider Name (Legal Business Name): GABRIELLE SHEFFIELD BHCMII
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELLE DEADERICK

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 24TH AVE NW STE 110
NORMAN OK
73069-6556
US

IV. Provider business mailing address

3729 NW DELLA ST
NORMAN OK
73072-1232
US

V. Phone/Fax

Practice location:
  • Phone: 405-467-3250
  • Fax:
Mailing address:
  • Phone: 251-229-3705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: