Individual
KELLY LYN MIGNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(405) 805-6403
Mailing address
1008 ROYAL LN, YUKON, OK 73099-4228
(405) 532-7137
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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