Individual
LAUREN THORSTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10107 S GARNETT RD, BROKEN ARROW, OK 74011-1118
(918) 505-7316
Mailing address
11207 S 94TH EAST AVE, BIXBY, OK 74008-1777
(918) 625-3409
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-321345
OK
235Z00000X
Speech-Language Pathologist
Primary
CF958
OK
Other
Enumeration date
01/30/2024
Last updated
07/17/2026
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