Healthcare Provider Details

I. General information

NPI: 1386560597
Provider Name (Legal Business Name): LAUREN PAIGE LITTLEJOHN RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14545 S 4420 RD
BLUEJACKET OK
74333-4505
US

IV. Provider business mailing address

14545 S 4420 RD
BLUEJACKET OK
74333-4505
US

V. Phone/Fax

Practice location:
  • Phone: 918-244-1002
  • Fax:
Mailing address:
  • Phone: 918-244-1002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberU084236601
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: