Individual
KIRA BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13905 TECHNOLOGY DR STE A1, OKLAHOMA CITY, OK 73134
(405) 389-4530
Mailing address
12104 SUNDANCE MOUNTAIN RD, OKLAHOMA CITY, OK 73162-1554
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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