Individual
MS. LAUREN GRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(580) 823-8017
Mailing address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(580) 823-8017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-16-24046
OK
Other
Enumeration date
09/28/2016
Last updated
09/27/2018
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