Individual
KAYTLYN SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 EAST MAIN PLACE, JENKS, OK 74037
(918) 209-5190
Mailing address
716 EAST MAIN PLACE, JENKS, OK 74037
(918) 209-5190
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75675
OK
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
02/06/2026
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