Individual
MS. REBECKA RAYN PURDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 W QUEENS ST, BROKEN ARROW, OK 74012-1767
(539) 367-1534
Mailing address
721 W QUEENS ST, BROKEN ARROW, OK 74012-1767
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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