Healthcare Provider Details

I. General information

NPI: 1588588107
Provider Name (Legal Business Name): SYDNEY REITER RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 E 48TH ST STE 101
TULSA OK
74105-4701
US

IV. Provider business mailing address

601 S ELGIN AVE APT 403
TULSA OK
74120-3611
US

V. Phone/Fax

Practice location:
  • Phone: 918-764-8544
  • Fax:
Mailing address:
  • Phone: 918-764-8544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2833306
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: