Individual
EMMA MICHELLE MORITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8787 N OWASSO EXPY STE E, OWASSO, OK 74055-4482
(918) 516-2211
Mailing address
8787 N OWASSO EXPY STE E, OWASSO, OK 74055-4482
(918) 516-2211
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-257719
OK
Other
Enumeration date
07/23/2018
Last updated
02/21/2023
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