Healthcare Provider Details

I. General information

NPI: 1144159955
Provider Name (Legal Business Name): KARSYN BLAIR JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8007 NW 122ND ST
OKLAHOMA CITY OK
73142-3302
US

IV. Provider business mailing address

163626 9 MILE RD
MARLOW OK
73055-9363
US

V. Phone/Fax

Practice location:
  • Phone: 405-603-6622
  • Fax:
Mailing address:
  • Phone: 580-641-2573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-537636
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: