Individual
MS. RAENISHA SHEREE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 S SANTA FE AVE STE E, OKLAHOMA CITY, OK 73139-8413
(405) 605-5757
(405) 605-5775
Mailing address
504 151 ST., OKLAHOMA CITY, OK 73170
(904) 476-5607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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