IndividualActive
Andre Lawson
NPI 1053294322 · Behavior Technician · Moore, OK
Provider details
- NPI number
- 1053294322
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-25-417470 (OK)
Practice location
146 Sw 134th St
Moore, OK 73170-1488
Phone: (405) 265-9324
Fax: (317) 520-8200
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2025-07-25
- Last updated
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.