Individual
LAKENDREA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
Mailing address
12439 SAINT ANDREWS DR APT B, OKLAHOMA CITY, OK 73120-8619
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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