Individual
PAIGE BOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S COLTRANE RD STE A, EDMOND, OK 73034-6729
(580) 318-9415
Mailing address
501 S COLTRANE RD STE A, EDMOND, OK 73034-6729
(580) 318-9415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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