Individual
MISS CORTIGAN Y HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 WATERWOOD PKWY STE G-B2, EDMOND, OK 73034-5355
(405) 314-3172
Mailing address
14140 BROADWAY EXT APT 725, EDMOND, OK 73013-4136
(405) 314-3172
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
OK
171M00000X
Case Manager/Care Coordinator
Primary
311492
OK
Other
Enumeration date
10/03/2011
Last updated
09/17/2024
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