Myles Rollerson
Behavior Technician in Broken Arrow, OK. Individual provider (NPI-1).
NPI number1801730643
StatusActive
Last updated in NPPESApr 14, 2026
Details
- NPI
- 1801730643
- Entity type
- Individual (NPI-1)
- Name
- Myles Rollerson
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2026
- Certification date
- Apr 14, 2026
- Last updated
- Apr 14, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | OK | Yes |
Practice location
3501 W Kenosha StBroken Arrow, OK 74012-8948
Phone 918-994-2764
Mailing address
3501 W Kenosha StBroken Arrow, OK 74012-8948
Phone 918-994-2764
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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