Potter, Fallon Rae

Potter, Fallon Rae is an individual health care provider with primary practice located at 1468 N Mustang Rd , Mustang OK 73064-7214. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Potter, Fallon Rae can be contacted via phone (716) 796-3416.

Contact Information

Primary practice address
1468 N Mustang Rd Mustang OK 73064-7214
Phone: (716) 796-3416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-26-87676 Oklahoma
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1841924297
LBN Legal business name Potter, Fallon Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2022
Last updated Apr 21st, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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