Healthcare Provider Details

I. General information

NPI: 1972472090
Provider Name (Legal Business Name): REBECCA CAUDILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17962 E 454 RD
JAY OK
74346-3643
US

IV. Provider business mailing address

17962 E 454 RD OFC
JAY OK
74346-3643
US

V. Phone/Fax

Practice location:
  • Phone: 918-837-2062
  • Fax:
Mailing address:
  • Phone: 918-557-4496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: