Individual
SANDY LOUISE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 CENTER LN, MUSKOGEE, OK 74403-7318
(918) 816-5691
Mailing address
1611 CENTER LN, MUSKOGEE, OK 74403-7318
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
01/12/2026
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