Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kallie Wommack

Individual provider Behavior Technician · NPI 1487521373

Kallie Wommack is a Behavior Technician in Jenks, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2025.

Licensed in
OK
In the registry since
2025

Practice location Address checks out

11982 S Mulberry Ct
Jenks, OK 74037-2181
Phone: (539) 777-0940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (OK)

Record details

NPI number1487521373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 23, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025
Mailing address11982 S Mulberry Ct, Jenks, OK 74037-2181

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