Individual
MEGAN KOLISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 AMBER ST, MOORE, OK 73160-8995
(720) 277-7938
Mailing address
2620 AMBER ST, MOORE, OK 73160-8995
(720) 277-7938
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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