Individual
MRS. KRISTEN NICOLE LAIL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, RBT
Contact information
Practice address
2505 SE LEE BLVD, LAWTON, OK 73501-6302
(907) 854-1072
Mailing address
1924 NW 176TH TER, EDMOND, OK 73012-6981
(602) 290-7952
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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