Provider Demographics
NPI:1194558916
Name:CZAPANSKY, CORTNE RAE (RBT)
Entity type:Individual
Prefix:
First Name:CORTNE
Middle Name:RAE
Last Name:CZAPANSKY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:CORTNE
Other - Middle Name:RAE
Other - Last Name:ROBARDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2000 WOODLAWN AVE APT B6
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-5765
Mailing Address - Country:US
Mailing Address - Phone:405-906-8129
Mailing Address - Fax:
Practice Address - Street 1:64 E 33RD ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-4603
Practice Address - Country:US
Practice Address - Phone:405-417-4420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician