Casey Elizabeth Sergott
Behavior Analyst in Stillwater, OK. Individual provider (NPI-1).
NPI number1164039756
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1164039756
- Entity type
- Individual (NPI-1)
- Name
- Casey Elizabeth Sergott
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Sep 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | RBT-20-134512 | OK | Yes |
Practice location
614 S Main StStillwater, OK 74074-4059
Phone 405-564-3408 · Fax 844-270-2039
Mailing address
7723 E 31st StTulsa, OK 74145-1246
Phone 618-610-6436
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