Provider Demographics
NPI:1447962121
Name:FRIMPONG, JASON
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:FRIMPONG
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 1:14300 N PENNSYLVANIA AVE APT 24
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6054
Mailing Address - Country:US
Mailing Address - Phone:469-688-8917
Mailing Address - Fax:
Practice Address - Street 1:428 W 15TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3689
Practice Address - Country:US
Practice Address - Phone:405-825-0799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician