Individual
MRS. BRENDA JO MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14625 NE 23RD ST, CHOCTAW, OK 73020-8728
(405) 390-8131
Mailing address
3308 SE 89TH ST TRLR 425, OKLAHOMA CITY, OK 73135-6211
(405) 882-1243
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/22/2011
Last updated
09/24/2014
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