Individual
LOGAN PAIGE RATZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-5474
(405) 383-9001
Mailing address
3030 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-5474
(405) 383-9001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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