Healthcare Provider Details

I. General information

NPI: 1366370298
Provider Name (Legal Business Name): OLIVIA SANER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 WALL ST
NORMAN OK
73069-6319
US

IV. Provider business mailing address

1606 WIND HILL RD
NORMAN OK
73071-3647
US

V. Phone/Fax

Practice location:
  • Phone: 405-384-8588
  • Fax: 405-384-8588
Mailing address:
  • Phone: 405-905-3711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-530531
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: