Individual
BRIDGET RAE TWEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16538 N MAY AVE, EDMOND, OK 73012-9007
(405) 265-9309
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61302
OK
106S00000X
Behavior Technician
RBT-20-115555
OK
Other
Enumeration date
03/14/2020
Last updated
10/04/2022
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