Individual
KELSEY ELIZABETH MIGNANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
13905 TECHNOLOGY DR, OKLAHOMA CITY, OK 73134-1054
(724) 814-6219
Mailing address
1320 12TH AVE SE, NORMAN, OK 73071-2560
(724) 814-6219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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