Individual
AMANDA RENEA FIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 SW 134TH ST, MOORE, OK 73170-1488
(405) 265-9324
Mailing address
930 WALL ST, NORMAN, OK 73069-6319
(405) 384-8588
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
05/02/2024
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