Individual
BETHANY WRASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
Mailing address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-194647
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/29/2021
Last updated
03/21/2022
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