Organization
ABA COOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MALWICK BCBA (MANAGING MEMBER)
(405) 202-6510
Entity
Organization
Contact information
Practice address
330 W EDMOND RD, EDMOND, OK 73003-5600
(405) 216-3391
Mailing address
330 W EDMOND RD, EDMOND, OK 73003-5600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/13/2019
Last updated
02/23/2026
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