Individual
KAYLA CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 W 15TH ST STE 600, EDMOND, OK 73013-3672
(405) 562-6072
Mailing address
416 W 15TH ST, EDMOND, OK 73013-3747
(405) 562-6072
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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