Individual
JESSIE ADCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9031 SW 29TH ST, OKLAHOMA CITY, OK 73179-2818
(405) 652-9683
Mailing address
1209 W HEFNER RD APT 172, OKLAHOMA CITY, OK 73114-7087
(405) 227-4755
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-242135
OK
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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