Individual
KELSEY EKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(405) 561-7928
(405) 310-9944
Mailing address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(405) 561-7928
(405) 310-9944
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-438421
OK
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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