Individual
HANNAH SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13905 TECHNOLOGY DR # A1, OKLAHOMA CITY, OK 73134-1054
(405) 389-4530
Mailing address
13905 TECHNOLOGY DR # A1, OKLAHOMA CITY, OK 73134-1054
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-136986
OK
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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