Individual
JAIDYN KRAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11761 S 4230 RD, CHELSEA, OK 74016-3210
(918) 264-0172
Mailing address
11761 S 4230 RD, CHELSEA, OK 74016-3210
(918) 264-0172
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BACB1298879
OK
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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