IndividualActive
Alexis Nichols
NPI 1336097716 · Behavior Technician · Mustang, OK
Provider details
- NPI number
- 1336097716
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1468 N Mustang Rd
Mustang, OK 73064-7214
Phone: (732) 806-0091
Approximate (ZIP-level) locationGet directions
Mailing address
185 Route 70 Ste 302
Toms River, NJ 08755-0911
Registry dates
- Enumerated
- 2026-03-20
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.