Individual
ALEXANDRIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3705 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-1512
(866) 614-1169
Mailing address
1416 TEXAS ST, WOODWARD, OK 73801-3038
(580) 377-9681
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1318988
OK
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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