Provider Demographics
NPI:1518799535
Name:ADVANCED BEHAVIORAL CARE, PLLC.
Entity type:Organization
Organization Name:ADVANCED BEHAVIORAL CARE, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERYL
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:AARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-889-8287
Mailing Address - Street 1:1008 S BRYANT AVE STE 275
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6288
Mailing Address - Country:US
Mailing Address - Phone:405-889-8287
Mailing Address - Fax:833-605-4189
Practice Address - Street 1:1008 S BRYANT AVE STE 275
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6288
Practice Address - Country:US
Practice Address - Phone:405-889-8287
Practice Address - Fax:833-605-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty