Provider Demographics
NPI:1558587949
Name:OKLAHOMA STATE DEPARTMENT OF EDUCATION
Entity Type:Organization
Organization Name:OKLAHOMA STATE DEPARTMENT OF EDUCATION
Other - Org Name:SPECIAL EDUCATION SERVICES, SOONERSTART
Other - Org Type:Other Name
Authorized Official - Title/Position:STATE SUPERINTENDENT OF PUBLIC INST
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-521-4885
Mailing Address - Street 1:2500 NORTH LINCOLN BLVD.
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-4599
Mailing Address - Country:US
Mailing Address - Phone:405-521-4885
Mailing Address - Fax:
Practice Address - Street 1:2500 NORTH LINCOLN BLVD.
Practice Address - Street 2:ROOM 510
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-4599
Practice Address - Country:US
Practice Address - Phone:405-521-4880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management