Individual
SACHIA JANAE CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 NE 64TH ST, OKLAHOMA CITY, OK 73105-6203
(405) 600-5527
Mailing address
908 NE 64TH ST, OKLAHOMA CITY, OK 73105-6203
(405) 600-5527
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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