Individual
LINDSEY BROCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16538 N MAY AVE, EDMOND, OK 73012-9007
(405) 253-0071
Mailing address
14828 SERENITA AVE, OKLAHOMA CITY, OK 73134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41379
OK
247200000X
Other Technician
—
—
Other
Enumeration date
09/24/2012
Last updated
08/18/2021
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