Individual
AUTUMN BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 DAISY DR UNIT F2, TAHLEQUAH, OK 74464-7411
(918) 525-4003
Mailing address
409 DAISY DR UNIT F2, TAHLEQUAH, OK 74464-7411
(918) 525-4003
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/10/2026
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