Individual
SARA CAROLINE HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
(817) 549-3172
Mailing address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
(817) 549-3172
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53021
OK
106S00000X
Behavior Technician
RBT-19-86153
OK
Other
Enumeration date
05/22/2019
Last updated
09/14/2021
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