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NPI 1053216333

NPI 1053216333 : ABA THERAPY OF OKLAHOMA : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1053216333
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABA THERAPY OF OKLAHOMA 
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Dates
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    Enumeration Date     |    10/08/2026
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    Last Update Date     |    10/08/2026
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Provider Practice Location Address
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    Address Line         |    2219 SW 74TH ST STE 109-115 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73159-3931
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    Country              |    US
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    Telephone            |    405-355-3239
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 12058 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73157-2058
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    Country              |    US
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    Telephone            |    405-240-9386
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     EDWIN  BROWN 
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    Credential           |    
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    Telephone            |    405-240-9386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    NULL
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