Provider Demographics
NPI:1497542005
Name:CHURCHMAN, BREE (RBT)
Entity type:Individual
Prefix:
First Name:BREE
Middle Name:
Last Name:CHURCHMAN
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:BREE
Other - Middle Name:
Other - Last Name:LEPIEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RBT
Mailing Address - Street 1:2509 RANCHVIEW RD
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1004
Mailing Address - Country:US
Mailing Address - Phone:580-470-6426
Mailing Address - Fax:
Practice Address - Street 1:2509 RANCHVIEW RD
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1004
Practice Address - Country:US
Practice Address - Phone:580-470-6426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKRBT-25-428969106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician