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Individual

ERICA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2220 NW 164TH ST, EDMOND, OK 73013-8801
(405) 757-7980
Mailing address
2133 NW 159TH TER, EDMOND, OK 73013-7309

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/31/2024
Last updated
10/14/2025
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