Individual
SIRENA FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 PROFESSIONAL CIR, YUKON, OK 73099-6470
(888) 517-8377
Mailing address
3101 VENICE BLVD, OKLAHOMA CITY, OK 73112-7412
(405) 413-0362
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT1869704
OK
Other
Enumeration date
11/25/2019
Last updated
05/15/2025
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