Individual
MAKENZIE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3635 NW 39TH EXPRESSWAY, OKLAHOMA CITY, OK 73112-6309
(405) 857-8280
Mailing address
3635 NW 39TH EXPRESSWAY, OKLAHOMA CITY, OK 73112-6309
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-302558
OK
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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