Individual
JESSICA WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1806 24TH AVE NW, NORMAN, OK 73069-6392
(405) 482-1905
Mailing address
2210 S. SANTE FE AVE., APT 102, MOORE, OK 73160
(209) 480-0091
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT20117297
OK
106E00000X
Assistant Behavior Analyst
—
OK
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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