MEDICARE: SEAN PAUL RICE

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	:	1871322420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN PAUL RICE

Provider Business Mailing Address
First Line	:	1729 NW 13TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-2005
Country	:	US
Telephone Number	:	310-463-7357
Fax Number	:

Provider Business Practice Location Address
First Line	:	1729 NW 13TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-2005
Country	:	US
Telephone Number	:	310-463-7357
Fax Number	:

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

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	07/31/2024

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Directions to “ SEAN PAUL RICE ” Practice Location

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