Individual
BROOKLYN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(405) 384-8588
Mailing address
3001 OAK TREE AVE, NORMAN, OK 73072-8066
(360) 451-2974
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-410830
OK
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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