Individual
LAUREN BOYDSTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
700 NE 122ND ST APT 3512, OKLAHOMA CITY, OK 73114-8160
(940) 782-9863
Mailing address
700 NE 122ND ST APT 3512, OKLAHOMA CITY, OK 73114-8160
(940) 782-9863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70998
OK
106S00000X
Behavior Technician
RBT-19-90906
OK
Other
Enumeration date
07/11/2019
Last updated
02/27/2024
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