Individual
PRISCILLA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
13913 S. WESTERN AVE, OKLAHOMA CITY, OK 73170
(405) 445-5567
Mailing address
950 N DAVIS AVE, OKLAHOMA CITY, OK 73127-4817
(712) 267-2091
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/23/2025
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