Individual
JASON DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
14828 SERENITA AVE, OKLAHOMA CITY, OK 73134-2028
(405) 365-5911
Mailing address
14828 SERENITA AVE, OKLAHOMA CITY, OK 73134-2028
(405) 365-5911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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