Provider Demographics
NPI:1841012416
Name:MULLINGS, DRAVEN (RBT)
Entity type:Individual
Prefix:
First Name:DRAVEN
Middle Name:
Last Name:MULLINGS
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 HEALTH CENTER PARKWAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099
Mailing Address - Country:US
Mailing Address - Phone:405-467-4276
Mailing Address - Fax:405-467-4323
Practice Address - Street 1:1601 HEALTH CENTER PARKWAY
Practice Address - Street 2:SUITE 400
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099
Practice Address - Country:US
Practice Address - Phone:405-467-4276
Practice Address - Fax:405-467-4323
Is Sole Proprietor?:No
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician