Individual
BEONICA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(405) 805-6403
Mailing address
14900 N PENNSYLVANIA AVE APT 1421, OKLAHOMA CITY, OK 73134-5910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
OK
Other
Enumeration date
07/26/2017
Last updated
09/09/2022
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