Individual
KYLA JOANN PEBWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-5103
(405) 622-4239
Mailing address
1717 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-5103
(405) 622-4239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-483023
OK
Other
Enumeration date
10/23/2025
Last updated
10/24/2025
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