Individual
SAVANNAH NOELLE EDIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 355-0993
Mailing address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 355-0993
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-280440
OK
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
01/17/2024
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