Individual
CANDACE MARIE MORAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1900 E 15TH ST STE 800B, EDMOND, OK 73013-6682
(405) 455-6868
(405) 562-3444
Mailing address
416 W 15TH ST STE 600, EDMOND, OK 73013-3672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-412885
OK
Other
Enumeration date
06/27/2023
Last updated
03/17/2025
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