Individual
JAZMINE RAEANN ALCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-20-148585
Contact information
Practice address
13905 TECHNOLOGY DR # A1, OKLAHOMA CITY, OK 73134-1054
(405) 389-4530
Mailing address
14900 N PENNSYLVANIA AVE APT 1934, OKLAHOMA CITY, OK 73134-5914
(623) 332-3874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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