MEDICARE: ABRE'A D FLENOID

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	:	1841134129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABRE'A D FLENOID

Provider Business Mailing Address
First Line	:	7717 S YALE AVE APT 1109
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-9094
Country	:	US
Telephone Number	:	918-804-1691
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 W KENOSHA ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-8948
Country	:	US
Telephone Number	:	918-804-1691
Fax Number	:

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

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “ ABRE'A D FLENOID ” Practice Location

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