Individual
NICHOLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 SW 74TH ST, OKLAHOMA CITY, OK 73159-3931
(405) 355-3239
Mailing address
11725 RED CEDAR RD, GUTHRIE, OK 73044-8280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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