Individual
JAYCEA RAE BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 SW 89TH ST, OKLAHOMA CITY, OK 73139-8510
(405) 838-1038
Mailing address
24 SW 89TH ST, OKLAHOMA CITY, OK 73139-8510
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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