Individual
BRIANNA RAYNE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 467-6782
Mailing address
306 SW 23RD ST, EL RENO, OK 73036-5914
(918) 571-8668
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-285952
OK
Other
Enumeration date
07/05/2023
Last updated
07/27/2023
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