Individual
AIYANNA TAHBONEMAH MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 W OKLAHOMA AVE, ENID, OK 73703-5033
(580) 309-0353
Mailing address
3110 W OKLAHOMA AVE, ENID, OK 73703-5033
(580) 309-0353
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-400266
OK
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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