Individual
KELSEY ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15201A CROWN AT LONE OAK RD, EDMOND, OK 73013-2272
(405) 849-4033
Mailing address
416 W 15TH ST STE 600, EDMOND, OK 73013-3672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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