Individual
GARRETT GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1336 N HARRISON AVE, SHAWNEE, OK 74801-5206
(405) 275-7100
Mailing address
3954 N KICKAPOO AVE STE 1-3, SHAWNEE, OK 74804-1698
(405) 857-8280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-509809
OK
Other
Enumeration date
02/06/2026
Last updated
08/07/2026
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