Organization
SUPPORTIVE CARE ABA OK LLC
Active
Other names
Supportive Care ABA OK LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN KESHERIM (MEMBER)
(317) 936-1240
Entity
Organization
Contact information
Practice address
901 S MAIN ST STE 30, STILLWATER, OK 74074-4635
(317) 936-1240
(317) 936-1241
Mailing address
901 S MAIN ST STE 30, STILLWATER, OK 74074-4635
(317) 936-1240
(317) 936-1241
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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