Individual
MECKENZIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(855) 782-7822
Mailing address
715 NW 36TH ST, LAWTON, OK 73505-5123
(405) 510-9213
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73367
OK
106S00000X
Behavior Technician
—
OK
Other
Enumeration date
08/06/2020
Last updated
09/24/2024
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