Individual
CASSIE RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 NW GRAND BLVD, OKLAHOMA CITY, OK 73118-6000
(405) 594-8336
Mailing address
1012 NW GRAND BLVD, OKLAHOMA CITY, OK 73118-6000
(405) 594-8336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-157052
OK
106S00000X
Behavior Technician
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—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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