Individual
BAILEY RAE KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3629
(918) 900-6237
Mailing address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3629
(918) 900-6237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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