Individual
MRS. RACHEL WYLDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 BAER DR, MOORE, OK 73160-3713
(405) 227-6422
Mailing address
616 BAER DR, MOORE, OK 73160-3713
(405) 227-6422
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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