Individual
RYAN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(405) 805-6403
Mailing address
819 E FOREMAN ST, EL RENO, OK 73036-3109
(405) 248-6085
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-196038
OK
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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