Individual
ANDREA RASBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1806 24TH AVE NW, NORMAN, OK 73069-6392
(405) 482-1905
Mailing address
721 36TH AVE NW, NORMAN, OK 73072-4108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106E00000X
Assistant Behavior Analyst
Primary
RBT20119215
OK
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
1913
OK
174H00000X
Health Educator
—
—
Other
Enumeration date
09/26/2017
Last updated
05/26/2020
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