Individual
KOLBY ROBERT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(405) 384-8588
Mailing address
300 HAL MULDROW DR APT 229, NORMAN, OK 73069-5202
(405) 683-2488
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-380909
OK
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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