MEDICARE: ALLYSON NICHOLS

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	RBT-26-524313	OK

General Provider Information

NPI Number	:	1851231732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON NICHOLS

Provider Business Mailing Address
First Line	:	2222 W HEFNER RD STE E
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-7622
Country	:	US
Telephone Number	:	405-465-8674
Fax Number	:	405-463-4015

Provider Business Practice Location Address
First Line	:	2222 W HEFNER RD STE E
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-7622
Country	:	US
Telephone Number	:	405-465-8674
Fax Number	:	405-463-4015

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

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “ ALLYSON NICHOLS ” Practice Location

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