Provider Demographics
NPI:1386911881
Name:ROBINSON, ANTHONY S
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:S
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 NW 104TH TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-5107
Mailing Address - Country:US
Mailing Address - Phone:405-286-2315
Mailing Address - Fax:
Practice Address - Street 1:2401 NW 39TH TER
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-8710
Practice Address - Country:US
Practice Address - Phone:405-557-1655
Practice Address - Fax:504-525-0677
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst