Individual
KATI EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
146 SW 134TH ST, MOORE, OK 73170-1488
(405) 265-9324
(317) 520-8200
Mailing address
PO BOX 300331, MIDWEST CITY, OK 73140-0331
(405) 835-9234
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21--56394
OK
106S00000X
Behavior Technician
RBT1982942
OK
Other
Enumeration date
01/08/2020
Last updated
01/28/2025
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