Individual
ROBERT STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1121 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5210
(405) 731-1992
Mailing address
1121 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5210
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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