Individual
SARAH THERESE THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2219 SW 74TH ST STE 109-115, OKLAHOMA CITY, OK 73159-3931
(405) 355-3239
(405) 212-4270
Mailing address
206 W HIGHLAND ST, TECUMSEH, OK 74873-4025
(405) 746-4726
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-375312
OK
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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