Individual
SURMAN BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(405) 561-7928
(405) 310-9944
Mailing address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(405) 561-7928
(405) 310-9944
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64514
OK
106S00000X
Behavior Technician
RBT-20-141204
OK
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200935580A
—
OK
Enumeration date
09/01/2017
Last updated
04/26/2023
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