Individual
KEILA D PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 NW 115TH ST, OKLAHOMA CITY, OK 73120-7713
(405) 206-1384
Mailing address
2220 NW 115TH ST, OKLAHOMA CITY, OK 73120-7713
(405) 206-1384
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200426990A
—
OK
Enumeration date
12/19/2011
Last updated
05/25/2012
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