Individual
ELISA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
401 S COLTRANE RD STE 260, EDMOND, OK 73034-6722
(580) 318-9415
Mailing address
2121 E MAIN ST STE 1, WEATHERFORD, OK 73096-6030
(405) 857-8280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-446705
OK
Other
Enumeration date
07/02/2025
Last updated
09/05/2025
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