Provider Demographics
NPI:1811566573
Name:A BEHAVIORAL APPROACH
Entity Type:Organization
Organization Name:A BEHAVIORAL APPROACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-537-3703
Mailing Address - Street 1:2809 TRANQUILO LN
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6096
Mailing Address - Country:US
Mailing Address - Phone:318-537-3703
Mailing Address - Fax:405-562-5037
Practice Address - Street 1:16362 MUIRFIELD PL
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-9145
Practice Address - Country:US
Practice Address - Phone:318-537-3703
Practice Address - Fax:405-562-5037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty