Individual
DANIELLE C PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
RBT
Contact information
Practice address
3635 NW 39TH ST, OKLAHOMA CITY, OK 73112-6309
(704) 519-8360
Mailing address
330 W EDMOND RD, EDMOND, OK 73003-5600
(405) 216-3391
(405) 216-3391
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-449938
OK
Other
Enumeration date
07/08/2025
Last updated
03/04/2026
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