Individual
REVAE NEGRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2250 N AIRPORT RD, WEATHERFORD, OK 73096-3351
(405) 424-7711
Mailing address
611 N 5TH ST, CLINTON, OK 73601-1909
(480) 781-8517
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-205843
AZ
Other
Enumeration date
03/03/2022
Last updated
12/06/2023
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