Organization
MICHAEL HUMPHRIES M.S.CCC-SLP, BCBA & ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WARD HUMPHRIES M.S. CCC-SLP, BCBA (CLINICAL DIRECTOR)
(405) 652-9683
Entity
Organization
Contact information
Practice address
9031 SW 29TH ST, OKLAHOMA CITY, OK 73179-2818
(405) 464-8484
(405) 883-3061
Mailing address
9031 SW 29TH ST, OKLAHOMA CITY, OK 73179-2818
(405) 652-9683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
04/13/2026
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