Individual
KIMBERLY BAGROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7306 S YALE AVE, TULSA, OK 74136-7027
(918) 280-0090
Mailing address
7306 S YALE AVE, TULSA, OK 74136-7027
(918) 280-0090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
10/20/2023
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