Individual
KAYLA NICOLE HERRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 S MAIN ST, STILLWATER, OK 74074-4059
(405) 564-3408
Mailing address
229 S BURDICK ST, STILLWATER, OK 74074-3716
(405) 714-0875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB682345
OK
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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