Individual
JESSICA EMILY CIFUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
14828 SERENITA AVE, OKLAHOMA CITY, OK 73134-2028
(405) 839-7300
Mailing address
3504 NW 14TH ST, OKLAHOMA CITY, OK 73107-4418
(405) 404-6227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-277607
OK
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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