Individual
MEGAN SEDLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(918) 994-2764
Mailing address
4 RYAN PL, KIEFER, OK 74041-4558
(918) 697-9564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/18/2018
Last updated
09/29/2021
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