Individual
MS. ANA DEBORAH CHAVEZ-MAENDELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
3601 S GOFF AVE, OKLAHOMA CITY, OK 73119-2615
(405) 824-5516
Mailing address
3601 S GOFF AVE, OKLAHOMA CITY, OK 73119-2615
(405) 824-5516
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/26/2016
Last updated
11/26/2016
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