Individual
ALEX FRAIRE-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3838 NW 36TH ST, OKLAHOMA CITY, OK 73112-2970
(405) 702-9032
Mailing address
9617 BRIARCREEK DR, OKLAHOMA CITY, OK 73162-7417
(405) 588-9563
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1539664
OK
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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