Provider Demographics
NPI:1013354828
Name:HEARNE, VELEECIA NICOLE (BHRS)
Entity Type:Individual
Prefix:
First Name:VELEECIA
Middle Name:NICOLE
Last Name:HEARNE
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 N AIR DEPOT BLVD
Mailing Address - Street 2:APT 6101
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-3700
Mailing Address - Country:US
Mailing Address - Phone:405-414-3774
Mailing Address - Fax:
Practice Address - Street 1:777 N AIR DEPOT BLVD
Practice Address - Street 2:APT 6101
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-3700
Practice Address - Country:US
Practice Address - Phone:405-414-3774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst