Organization
PIVOTAL PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M GARY RN, BCBA, LBA (OWNER)
(918) 972-1088
Entity
Organization
Contact information
Practice address
19021 E CHOKEBERRY ST, OWASSO, OK 74055-0037
(918) 972-1088
(918) 921-8143
Mailing address
PO BOX 754, OWASSO, OK 74055-0754
(918) 972-1088
(918) 921-8143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
163W00000X
Registered Nurse
—
—
Other
Enumeration date
09/19/2022
Last updated
09/29/2022
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