Individual
RACHAEL ANN LANDREVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13913 S WESTERN AVE, OKLAHOMA CITY, OK 73170-7011
(405) 445-5567
Mailing address
39 NE 63RD STREET, 1/2, OKLAHOMA CITY, OK 73105
(405) 532-6275
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-504352
OK
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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