Individual
JAIME LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(855) 782-7822
Mailing address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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