Healthcare Provider Details

I. General information

NPI: 1700791183
Provider Name (Legal Business Name): CBH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4103 S YALE AVE STE C
TULSA OK
74135-6002
US

IV. Provider business mailing address

PO BOX 700360
TULSA OK
74170-0360
US

V. Phone/Fax

Practice location:
  • Phone: 918-495-4110
  • Fax:
Mailing address:
  • Phone: 918-382-7300
  • 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: KERRI WATSON
Title or Position: CREDENTIALING DIRECTOR
Credential:
Phone: 918-698-1771