IndividualActive
Autumn Bristow
NPI 1669263992 · Behavior Technician · Antlers, OK
Provider details
- NPI number
- 1669263992
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
510 N High St
Antlers, OK 74523-2247
Phone: (580) 209-6112
Fax: (580) 271-6790
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 608
Antlers, OK 74523-0608
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.