Individual
JONATHAN WEISSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1200 S AIR DEPOT BLVD STE K-M, MIDWEST CITY, OK 73110-4866
(405) 857-8280
Mailing address
1200 S AIR DEPOT BLVD STE K-M, MIDWEST CITY, OK 73110-4866
(405) 857-8280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-517220
OK
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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