Individual
MISS HAILEY NICOLE ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PARK AVE STE 1300, OKLAHOMA CITY, OK 73102-7216
(539) 777-0940
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74785
OK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/01/2022
Last updated
08/14/2024
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