Individual
JADA MAE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT-25-444727
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(405) 384-8588
Mailing address
1301 12TH ST, MAYSVILLE, OK 73057-9598
(405) 803-4451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-444727
OK
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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