NPI 1558506972 · live from the CMS NPI Registry
Renee Lynne Bartos, BHRS
Behavior Analyst in Tishomingo, OK. National Provider Identifier 1558506972, active.
NPI record
| NPI | 1558506972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 801 E Main St, Tishomingo, OK 73460 |
| Practice phone | 580-371-3799 |
| Mailing address | 4607 N.B.U., Prague, OK 74864 |
| Enumerated | December 15, 2008 |
| Last updated | May 31, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.