Individual
KAITLYNN AUTUMN YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 S FRETZ AVE STE C, EDMOND, OK 73003-5568
(405) 757-7980
Mailing address
19609 FILLY DR, EDMOND, OK 73012-3471
(405) 803-3693
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
01/31/2025
Last updated
05/01/2025
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