Individual
CLINT SIEGERSMA SIEGERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1212 S. AIR DEPOT, STE 17, MIDWEST CITY, OK 73110
(405) 455-6868
(800) 856-0132
Mailing address
1212 S. AIR DEPOT, STE 17, MIDWEST CITY, OK 73110
(405) 455-6868
(800) 856-0132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-18-57134
OK
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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