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Individual

KATHLEEN M GARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BCBA, LBA

Contact information

Practice address
19021 E CHOKEBERRY ST, OWASSO, OK 74055-0037
(918) 972-1088
(918) 921-8143
Mailing address
PO BOX 754, OWASSO, OK 74055-0754
(918) 972-1088
(918) 921-8143

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42961
OK
163W00000X
Registered Nurse
R0137155
OK

Other

Enumeration date
09/19/2022
Last updated
09/29/2022
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