Individual
JESSICA DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3635 NW 39TH EXPRESSWAY # OK73112, OKLAHOMA CITY, OK 73112-6309
(405) 696-3642
Mailing address
3635 NW 39TH EXPRESSWAY # OK73112, OKLAHOMA CITY, OK 73112-6309
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-241432
OK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/08/2022
Last updated
08/24/2023
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