Individual
LOGHAN RAE MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(405) 384-8588
Mailing address
1101 E BROOKS ST APT 1, NORMAN, OK 73071-3420
(405) 924-4539
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-429176
OK
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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