Individual
MS. DAISHA BADGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5712 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4515
(405) 922-2936
Mailing address
5712 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4515
(405) 922-2936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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