Individual
GRACE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13327 E 33RD PL, TULSA, OK 74134-4015
(918) 280-9072
Mailing address
PO BOX 691461, TULSA, OK 74169-1461
(918) 280-9072
(539) 399-7513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-449085
OK
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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