Richardson, Brooke
Richardson, Brooke is an individual health care provider with primary practice located at 4917 N Portland Ave , Oklahoma City OK 73112-6113. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Richardson, Brooke can be contacted via phone (405) 924-3134.Contact Information
Primary practice address
4917 N Portland Ave
Oklahoma City OK 73112-6113
Phone: (405) 924-3134
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1316229735 |
|---|---|
| LBN Legal business name | Richardson, Brooke |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2011 |
| Last updated | Sep 17th, 2014 - about 12 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316229735 | NPPES |
| Oklahoma | MEDICAID | 200391400A |
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