Individual
JACQUELINE MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
13905 TECHNOLOGY DR, OKLAHOMA CITY, OK 73134-1054
(405) 831-4045
Mailing address
2524 NW 16TH ST, OKLAHOMA CITY, OK 73107-4840
(405) 831-4045
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB510774
OK
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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