Individual
CLARISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
Mailing address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-188685
OK
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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