Individual
BONNY REIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
600 LIBERTY LN, EDMOND, OK 73034-9432
(918) 410-9668
Mailing address
600 LIBERTY LN, EDMOND, OK 73034-9432
(918) 410-9668
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT20145875
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200868060A
—
OK
05
—
822465485
—
OK
Enumeration date
01/13/2021
Last updated
01/13/2021
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