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Individual

LAURISSA FOLGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LBA

Contact information

Practice address
146 SW 134TH ST, MOORE, OK 73170-1488
(405) 265-9324
Mailing address
1900 E 15TH ST STE 800B, EDMOND, OK 73013-6682
(405) 455-6868
(405) 562-3444

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70664
OK
106S00000X
Behavior Technician

Other

Enumeration date
12/02/2020
Last updated
06/13/2024
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