Brett Bowline
Individual provider Active NPI Behavior Technician · Tulsa, OK
NPI 1679376115 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1679376115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7810 E 108TH St
Tulsa, OK 74133-7415 - Phone
- (855) 223-7123
- NPI assigned
- Mar 31, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
7810 E 108TH St
Tulsa, OK 74133-7415
Mailing address
PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123
Other providers in Tulsa, OK
- Crystal Bowlby
- Caden Reese Bowles
- Jeremy Michael Bowles
- Aaron Christopher Bowlin
- Jessica Maria Bowlin
- April Shea Bowling
- Andrew Bowman
- Hartley Nicole Bowman
- Jaci Shey Bowman
- Jayne Alberta Bowman
All providers in Tulsa, OK · Behavior Technician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.