Individual
SHANICE VELEZ-PATRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(855) 782-7822
Mailing address
6913 FAWN CANYON DR, OKLAHOMA CITY, OK 73162-6635
(405) 837-0704
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-215514
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-215514
RBT CERTIFICATION
OK
Enumeration date
05/16/2022
Last updated
05/16/2022
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