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Individual

DEANDREA SNEDDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14828 SERENITA AVE, OKLAHOMA CITY, OK 73134
(405) 839-7300
Mailing address
319 E 13TH ST, EDMOND, OK 73034-4723
(918) 850-9159

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-46481
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-17-46481
RBT/BEHAVIOR TECHNICIAN
OK
Enumeration date
10/01/2019
Last updated
02/02/2024
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