Individual
LORAINE MARIE RIVERA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
Mailing address
13758 NE LAFAYETTE DR, ELGIN, OK 73538-5013
(787) 410-8010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-318183
OK
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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