Individual
MEADOW YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S COLTRANE RD STE 260, EDMOND, OK 73034-6722
(580) 318-9415
Mailing address
11027 N 2420 RD, WEATHERFORD, OK 73096-3154
(580) 819-4955
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1168860
OK
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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