Individual
AMY EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 S MAIN ST, STILLWATER, OK 74074-4059
(405) 564-3408
Mailing address
1814 W SUNSET AVE, STILLWATER, OK 74074-2631
(281) 466-7677
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1414014
OK
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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