Individual
MAYA REENE CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16538 N MAY AVE, EDMOND, OK 73012-9007
(405) 613-9536
Mailing address
3605 NW 52ND ST, OKLAHOMA CITY, OK 73112-5616
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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