Individual
JAYMIE JAYNELLE HUFFSTICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(405) 805-6503
Mailing address
1822 SPRING GARDEN ST, PHILADELPHIA, PA 19130-4122
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-170299
OK
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
10/23/2021
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