| Extraordinary Minds Llc | |
|
1715 N Broadway Ave Oklahoma City OK 73103-3416 | |
| (405) 915-5166 | |
| (405) 400-8801 |
| Full Name | Extraordinary Minds Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1715 N Broadway Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Hagar Affify (CEO) |
| Authorized Official Contact | 9186916042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extraordinary Minds Llc 3732 Pettit Blvd Edmond OK 73012-9402 Ph: (405) 915-5166 | Extraordinary Minds Llc 1715 N Broadway Ave Oklahoma City OK 73103-3416 Ph: (405) 915-5166 |
| NPI Number | 1669152278 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 02/26/2026 |
| Certification Date | 02/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669152278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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