Individual
KRISTEN MIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11982 S MULBERRY CT, JENKS, OK 74037-2181
(539) 777-0940
Mailing address
3490 BELCHER RD, MOUNDS, OK 74047-5556
(405) 200-5333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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