Individual
KAYANNA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 A ST NW, ARDMORE, OK 73401-6508
(580) 448-0232
Mailing address
20 A ST NW, ARDMORE, OK 73401-6508
(580) 448-0232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-340684
OK
Other
Enumeration date
04/17/2024
Last updated
04/18/2024
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