Individual
KENIA MACEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12435 E 34TH ST, TULSA, OK 74146-2217
(918) 523-4494
Mailing address
4908 S SHERIDAN RD, TULSA, OK 74145-5712
(918) 523-4494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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