Individual
JESSIE SPRADLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2025 E 58TH ST N, MUSKOGEE, OK 74403-4503
(918) 219-6787
Mailing address
2025 E 58TH ST N, MUSKOGEE, OK 74403-4503
(918) 219-6787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
M080587720
OK
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/28/2025
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