Individual
MRS. IBIS M MAIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 CARMEL VALLEY WAY, EDMOND, OK 73025-2744
(405) 513-8806
Mailing address
401 CARMEL VALLEY WAY, EDMOND, OK 73025-2744
(405) 513-8806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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