Individual
DESTANI BRIENNE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 W QUEENS ST, BROKEN ARROW, OK 74012-1767
(539) 250-8039
(539) 250-8039
Mailing address
524 S EUFAULA AVE, COWETA, OK 74429-2232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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