Individual
JADYN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13905 TECHNOLOGY DR, OKLAHOMA CITY, OK 73134-1054
(469) 892-7500
Mailing address
13905 TECHNOLOGY DR, OKLAHOMA CITY, OK 73134-1054
(539) 777-0940
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
24-333205
OK
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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