Individual
ELLIZABETH CABUGAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 36TH AVE NW, NORMAN, OK 73072-3251
(855) 324-0885
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
22-237231
OK
106S00000X
Behavior Technician
Primary
22-237410
OK
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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