Individual
DANA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 MARY, KIEFER, OK 74041-4513
(808) 209-5829
Mailing address
32 MARY, KIEFER, OK 74041-4513
(808) 209-5829
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-383362
OK
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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