Individual
ALYSSA LEEANN EDDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(405) 805-6403
Mailing address
12026 SW 16TH ST, YUKON, OK 73099-6929
(405) 226-5257
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-276634
RBT CERIFICATION
—
Enumeration date
05/31/2023
Last updated
05/31/2023
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