Individual
KATELYN BREANN BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
609 W MCKENZIE DR, CHICKASHA, OK 73018-8189
(405) 206-2347
Mailing address
609 W MCKENZIE DR, CHICKASHA, OK 73018-8189
(405) 206-2347
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-334124
OK
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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