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Individual

KEISHA FLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
428 SOUTH LOS LENTES RD, LOS LUNAS, NM 87031-8493
(505) 865-3350
Mailing address
1121 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5210
(855) 782-8222

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/16/2009
Last updated
06/06/2025
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