IndividualActive
Benjamin Long
NPI 1730045121 · Peer Specialist · Sallisaw, OK
Provider details
- NPI number
- 1730045121
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1108 N Wheeler Ave
Sallisaw, OK 74955-2227
Phone: (918) 774-5513
Fax: (918) 775-5526
Approximate (ZIP-level) locationGet directions
Mailing address
4103 S Yale Ave Ste B
Tulsa, OK 74135-6002
Registry dates
- Enumerated
- 2025-12-29
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.