Individual
JULIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 E MAIN ST STE 1, WEATHERFORD, OK 73096-6030
(405) 857-8280
Mailing address
3635 NW 39TH EXPRESSWAY, OKLAHOMA CITY, OK 73112-6309
(405) 857-8280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-227005
OK
Other
Enumeration date
07/19/2022
Last updated
06/02/2025
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