Individual
SUSAN ELISE RADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
5100 N BROOKLINE AVE, OKLAHOMA CITY, OK 73112-3623
(405) 503-0863
Mailing address
1920 E 2ND ST APT 4006, EDMOND, OK 73034-6385
(405) 503-0863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0188836
OK
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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