Individual
MELISSA ELIZABETH KIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 NW 57TH ST, SUITE 302, OKLAHOMA CITY, OK 73112-6814
(405) 840-1253
(405) 840-1211
Mailing address
1141 NW 43RD ST, OKLAHOMA CITY, OK 73118-5405
(214) 498-4570
(405) 840-1211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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