Individual
LORENA CRISTINA LEON ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11982 S MULBERRY CT, JENKS, OK 74037-2181
(918) 201-1865
Mailing address
11982 S MULBERRY CT, JENKS, OK 74037-2181
(918) 201-1865
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA-1-25-85333
OK
106S00000X
Behavior Technician
RBT-21-155826
OK
Other
Enumeration date
12/23/2020
Last updated
10/29/2025
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