Provider Demographics
NPI:1295618395
Name:MCABEE, CHALESE
Entity type:Individual
Prefix:
First Name:CHALESE
Middle Name:
Last Name:MCABEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 S BRYANT AVE APT 112
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6312
Mailing Address - Country:US
Mailing Address - Phone:580-560-4882
Mailing Address - Fax:
Practice Address - Street 1:20 S BRYANT AVE APT 112
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6312
Practice Address - Country:US
Practice Address - Phone:580-560-4882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARBT-25-433084106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician