Individual
MS. KHRISDA PAIGE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 MAGNOLIA CT, MOORE, OK 73160-1397
(405) 237-1535
Mailing address
1211 MAGNOLIA CT, MOORE, OK 73160-1397
(405) 237-1535
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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