Individual
IVIE LYNN MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 SUNNYSIDE PL, EDMOND, OK 73003-5136
(405) 479-4923
Mailing address
15201 CROWN AT LONE OAK RD, EDMOND, OK 73013-2272
(479) 318-2300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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