Organization
BISON BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA MOORE PSYD, LPC, BCBA (OWNER)
(405) 564-3408
Entity
Organization
Contact information
Practice address
824 S MAIN ST, STILLWATER, OK 74074-4631
(405) 564-3408
(405) 332-5154
Mailing address
824 S MAIN ST, STILLWATER, OK 74074-4631
(405) 564-3408
(405) 332-5154
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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