Organization
ALPHA AUTISM THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA GITTINS BCBA (CEO)
(405) 987-7354
Entity
Organization
Contact information
Practice address
2524 N BROADWAY, SUITE 528, EDMOND, OK 73034
(405) 987-7354
(877) 349-8962
Mailing address
2524 N BROADWAY, SUITE 528, EDMOND, OK 73034
(405) 987-7354
(877) 349-8962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201077980A
—
OK
Enumeration date
05/15/2022
Last updated
05/14/2025
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