Individual
KYLEA ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8125 S WALKER AVE, OKLAHOMA CITY, OK 73139-9417
(405) 634-4400
Mailing address
8125 S WALKER AVE, OKLAHOMA CITY, OK 73139-9417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-489426
OK
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
11/12/2025
Last updated
07/06/2026
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