Trey Bartholomew

NPI #1114770062 in Shawnee, Oklahoma

Provider Information

NPI Number: 1114770062
Entity Type: Individual
Name: Trey Bartholomew
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 10, 2024
Last Updated: Apr 10, 2024

Practice Location

Address: 3954 N KICKAPOO AVE STE 1-3
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1698
Phone: (405) 857-8280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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