Individual
PAULA R PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13913 S WESTERN AVE, OKLAHOMA CITY, OK 73170-7011
(405) 445-5567
Mailing address
613 SW 28TH ST, MOORE, OK 73160-2874
(405) 219-5091
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-431213
OK
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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