Individual
KEYLA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11982 S MULBERRY CT, JENKS, OK 74037-2181
(539) 777-0940
Mailing address
8307 S YORKTOWN CT APT B, TULSA, OK 74137-1550
(479) 806-8307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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