Intentional Lives Therapy is a
Behavior Analyst based in Edmond, Oklahoma. Intentional Lives Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
3700 Derby Run Dr, Edmond, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(405) 590-7127.
NPI number for Intentional Lives Therapy is 1518604966 and their current mailing address is 3700 Derby Run Dr, Edmond, Oklahoma. Intentional Lives Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1518604966.
Healthcare Provider's Profile
Full Name | Intentional Lives Therapy |
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Type | Facility |
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Speciality | Behavior Analyst |
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Location | 3700 Derby Run Dr, Edmond, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518604966
- Provider Enumeration Date: 05/17/2022
- Last Update Date: 05/17/2022
Medical Identifiers
Medical identifiers for Intentional Lives Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518604966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Intentional Lives Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Intentional Lives Therapy 3700 Derby Run Dr, Edmond, OK 73034-2625 Ph: () - | Intentional Lives Therapy 3700 Derby Run Dr, Edmond, OK 73034-2625 Ph: (405) 590-7127 |
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