IndividualActive
Alexis Madison
NPI 1013620962 · Behavior Technician · Broken Arrow, OK
Provider details
- NPI number
- 1013620962
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-23-252380 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
308 N Aspen Ave
Broken Arrow, OK 74012-2205
Phone: (539) 777-0940
Approximate (ZIP-level) locationGet directions
Mailing address
308 N Aspen Ave
Broken Arrow, OK 74012-2205
Registry dates
- Enumerated
- 2023-01-05
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.