MEDICARE: MISS NAKEIA Y HOOVER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	251S00000X	Community/Behavioral Health Agency
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1033483417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS NAKEIA Y HOOVER

Provider Business Mailing Address
First Line	:	205 E CAMPBELL DR
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-3410
Country	:	US
Telephone Number	:	405-610-3660
Fax Number	:

Provider Business Practice Location Address
First Line	:	5350 S WESTERN AVE STE 548
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-4536
Country	:	US
Telephone Number	:	405-889-1562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2012
Last Update Date	:	02/15/2022

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Directions to “ MISS NAKEIA Y HOOVER ” Practice Location

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