Individual
MAKENZIE MARIE BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 W I 240 SERVICE RD STE 109-115, OKLAHOMA CITY, OK 73159-8250
(405) 355-3239
Mailing address
3032 SE 19TH ST, DEL CITY, OK 73115-1510
(316) 347-5096
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-265181
OK
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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