Provider Demographics
NPI:1124848213
Name:FARBRO, MORGAN B
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:B
Last Name:FARBRO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4908 S SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-5712
Mailing Address - Country:US
Mailing Address - Phone:918-984-9153
Mailing Address - Fax:
Practice Address - Street 1:3015 E SKELLY DR STE 1235
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-6317
Practice Address - Country:US
Practice Address - Phone:918-764-8378
Practice Address - Fax:877-655-8370
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician