MEDICARE: ERICIA LASHAY MADDOX

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1841011756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICIA LASHAY MADDOX

Provider Business Mailing Address
First Line	:	PO BOX 1280
Second Line	:
City	:	BETHANY
State	:	OK
Zip	:	73008-1280
Country	:	US
Telephone Number	:	405-397-7956
Fax Number	:

Provider Business Practice Location Address
First Line	:	4731 JUDY DR
Second Line	:
City	:	DEL CITY
State	:	OK
Zip	:	73115-3815
Country	:	US
Telephone Number	:	405-476-7732
Fax Number	:

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

Provider Enumeration Date	:	10/23/2024
Last Update Date	:	10/23/2024

Similar Medicare Providers

1285245258 — MRS. KATHERINE M MORGAN
Practice Location Address:

4731 JUDY DR
DEL CITY, OK
73115-3815

Practice Phone: 405-724-8937
Practice Fax:

1578236790 — TAREN PATTERSON
Practice Location Address:

4731 JUDY DR
DEL CITY, OK
73115-3815

Practice Phone: 405-582-7073
Practice Fax:

1275255770 — KOURTNEY ROBERSON
Practice Location Address:

4731 JUDY DR
DEL CITY, OK
73115-3815

Practice Phone: 405-370-9909
Practice Fax:

1336090356 — KELLIE M CARTER RN
Practice Location Address:

4731 JUDY DR
DEL CITY, OK
73115-3815

Practice Phone: 405-671-8615
Practice Fax:

1003597808 — JOSHUA PICKETT
Practice Location Address:

4731 JUDY DR
OKLAHOMA CITY, OK
73115-3815

Practice Phone: 318-518-4247
Practice Fax:

1790566826 — DANA LOVICK
Practice Location Address:

4731 JUDY DR
OKLAHOMA CITY, OK
73115-3815

Practice Phone: 405-856-4217
Practice Fax:

Directions to “ ERICIA LASHAY MADDOX ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.