Individual
KAYLA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(866) 610-0580
(866) 611-1558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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