Individual
JACQUELINE GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
924 NW 58TH ST STE 103, OKLAHOMA CITY, OK 73118-5905
(405) 563-1236
Mailing address
924 NW 58TH ST STE 103, OKLAHOMA CITY, OK 73118-5905
(405) 563-1236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-235723
OK
224Z00000X
Occupational Therapy Assistant
Primary
3015
OK
Other
Enumeration date
09/21/2022
Last updated
08/04/2026
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