Individual
BRENNA CARLENE NIXON
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
(405) 634-4400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
318747
OK
Other
Enumeration date
04/10/2023
Last updated
07/01/2026
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