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NPI Code Detail

MEDICARE: CYDEL DAVID RBT

MEDICARE: CYDEL DAVID RBT
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician24-363987TX

General Provider Information

NPI Number : 1619830346
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYDEL DAVID RBT
Provider Business Mailing Address
First Line : 2405 PALMER CIR STE 100
Second Line :
City : NORMAN
State : OK
Zip : 73069-6351
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3100 PREMIER DR STE 234
Second Line :
City : IRVING
State : TX
Zip : 75063-2693
Country : US
Telephone Number : 855-782-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ CYDEL DAVID RBT” Practice Location

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