Individual
DEX WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1012 24TH AVE NW STE 100, NORMAN, OK 73069-6493
(855) 223-7123
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62210
CO
106S00000X
Behavior Technician
RBT-18-70524
MO
Other
Enumeration date
01/22/2020
Last updated
02/03/2026
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