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Individual

RACHELL LYNN STAATS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7908 NW 23RD ST, BETHANY, OK 73008-4950
(404) 440-1006
Mailing address
744 SE 25TH ST, OKLAHOMA CITY, OK 73129-4843

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/17/2012
Last updated
10/17/2012
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  • EDI platform