Individual
AMANDA GAYLE DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(855) 782-7822
Mailing address
4121 24TH AVE SE APT 4, NORMAN, OK 73071-0835
(405) 446-7177
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-412300
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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