Healthcare Provider Details

I. General information

NPI: 1467377499
Provider Name (Legal Business Name): ALLISON REBECCA SCHRECKENGOST RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 W MEMORIAL RD STE 702
OKLAHOMA CITY OK
73134-1507
US

IV. Provider business mailing address

2026 W ADMIRAL RD
STILLWATER OK
74074-2501
US

V. Phone/Fax

Practice location:
  • Phone: 405-442-4940
  • Fax:
Mailing address:
  • Phone: 580-475-1610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2838447
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: