| The Behavioral Edge | |
|
1500 Smoking Tree St Moore OK 73160-5718 | |
| (630) 464-4363 | |
| Not Available |
| Full Name | The Behavioral Edge |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1500 Smoking Tree St, Moore, Oklahoma |
| Authorized Official Name and Position | Amanda Lucas (BCBA OWNER) |
| Authorized Official Contact | 6304644363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Behavioral Edge 1500 Smoking Tree St Moore OK 73160-5718 Ph: (630) 464-4363 | The Behavioral Edge 1500 Smoking Tree St Moore OK 73160-5718 Ph: (630) 464-4363 |
| NPI Number | 1295509602 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295509602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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