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Individual

MISS MAYA JANEE BLEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(405) 805-6403
Mailing address
9918 PAISLEY RD, YUKON, OK 73099-7920
(405) 414-5789

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/05/2022
Last updated
05/05/2022
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