Individual
MOLLIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1121 S DOUGLAS BLVD # A, MIDWEST CITY, OK 73130-5210
(405) 666-9040
Mailing address
1121 S DOUGLAS BLVD # A, MIDWEST CITY, OK 73130-5210
(405) 666-9040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-180164
TX
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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