Individual
RENEE LYNNE BARTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
801 E MAIN ST, TISHOMINGO, OK 73460-2351
(580) 371-3799
Mailing address
4607 N.B.U., PRAGUE, OK 74864
(405) 567-9219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200125800A
—
OK
Enumeration date
12/15/2008
Last updated
05/31/2013
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