Individual
BROOKE BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(405) 384-8588
Mailing address
4306 SALEM CT, NORMAN, OK 73072-4461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-310028
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-310028
REGISTERED BEHAVIOR TECHNICIAN
OK
Enumeration date
11/10/2023
Last updated
11/10/2023
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