Individual
JUDE S YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 E 33RD ST, EDMOND, OK 73013-4603
(405) 657-1108
Mailing address
1900 NW 199TH ST, EDMOND, OK 73012-3570
(405) 404-7148
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1164205779
OK
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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