Individual
CARLY ELISE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHCMII
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 360-5100
Mailing address
1120 E MAIN ST, NORMAN, OK 73071-5300
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
12/02/2024
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