Individual
SARAI BASTIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 S FRETZ AVE STE C425S, EDMOND, OK 73003-5532
(405) 757-7980
Mailing address
106 E 12TH ST, EDMOND, OK 73034-3927
(405) 538-8055
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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