Individual
JESSICA RUTH CASSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 NW EXPRESSWAY STE 200, OKLAHOMA CITY, OK 73112-5466
(405) 383-9001
Mailing address
3817 NW 125TH ST, OKLAHOMA CITY, OK 73120-8803
(405) 474-2026
(844) 447-0582
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB636225
OK
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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