Individual
MONTANA HAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PARK AVE STE 1300, OKLAHOMA CITY, OK 73102-7216
(405) 689-9820
(855) 915-1521
Mailing address
4225 MAYFIELD RD STE 203, SOUTH EUCLID, OH 44121-3037
(888) 238-1818
(855) 915-1521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-352993
OK
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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