Individual
LATIFA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19809 FORSYTHE DR, EDMOND, OK 73012
(405) 215-1692
Mailing address
19809 FORSYTHE DR, EDMOND, OK 73012
(405) 215-1692
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-394829
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/26/2019
Last updated
12/09/2024
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