Individual
MINDY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W EDMOND RD, EDMOND, OK 73003-5600
(405) 216-3391
Mailing address
1022 W GEMINI RD, EDMOND, OK 73003-5808
(479) 522-0887
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-418822
OK
Other
Enumeration date
09/09/2024
Last updated
03/25/2025
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