Individual
CHEVELLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PARK AVE STE 1300, OKLAHOMA CITY, OK 73102-7216
(405) 442-4940
Mailing address
101 PARK AVE STE 1300, OKLAHOMA CITY, OK 73102-7216
(405) 442-4940
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
224-398585
OK
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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