Individual
MS. DESIREE ALEECE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 NE 46TH ST, OKLAHOMA CITY, OK 73105-3314
(405) 270-0005
Mailing address
505 NE 46TH ST, OKLAHOMA CITY, OK 73105-3314
(405) 270-0005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000000000
OK
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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