IndividualActive
Avery Waddell
NPI 1992533087 · Behavior Technician · Choctaw, OK
Provider details
- NPI number
- 1992533087
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-24-372796 (OK)
Practice location
1960 Harper St
Choctaw, OK 73020-8095
Phone: (405) 281-1040
Fax: (405) 585-2983
Mailing address
3903 N Harrison St
Shawnee, OK 74804-1426
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.