Individual
BARBARA M. MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2524 N BROADWAY # 528, EDMOND, OK 73034-4172
(405) 987-7354
Mailing address
2524 N BROADWAY # 528, EDMOND, OK 73034-4172
(405) 987-7354
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-378707
OK
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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