Individual
MRS. JONESHA LEEQUITA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
OK
251B00000X
Case Management Agency
—
OK
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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