Individual
NICOLLETTE ANN MINYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1076 W MAPLE AVE, DUNCAN, OK 73533-4718
(405) 442-4940
Mailing address
1076 W MAPLE AVE, DUNCAN, OK 73533-4718
(405) 442-4940
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-534618
OK
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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