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Individual

AMBER HUNNICUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
314 S BROADWAY AVE STE 106, ADA, OK 74820-5818
(580) 235-0210
(580) 235-0211
Mailing address
1300 HOPPE BLVD STE 3, ADA, OK 74820-2319
(405) 857-8280

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-333619
OK
171M00000X
Case Manager/Care Coordinator
Primary
OK

Other

Enumeration date
03/14/2024
Last updated
07/10/2026
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