Individual
MR. DARIUS NAJUAN GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9100 JENNIFER PL, OKLAHOMA CITY, OK 73130-1117
(412) 888-6501
Mailing address
9100 JENNIFER PL, OKLAHOMA CITY, OK 73130-1117
(412) 888-6501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
OK
171M00000X
Case Manager/Care Coordinator
—
OK
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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