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

Mandeline Elizabeth Brosam

Individual provider Behavior Technician · NPI 1285491373

Mandeline Elizabeth Brosam is a Behavior Technician in Norman, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2024.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

930 Wall St
Norman, OK 73069-6319
Phone: (405) 384-8588
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 number1285491373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2024
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

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