Individual
KYLIE BROOKE BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14585 W FRISCO DR, YUKON, OK 73099-9087
(405) 778-4090
Mailing address
14585 W FRISCO DR, YUKON, OK 73099-9087
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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