Individual
GAEL ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(855) 782-7822
Mailing address
702 INVERNESS CT, NORMAN, OK 73072-4227
(405) 589-2450
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-411543
OK
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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