Individual
MEGAN NICOLE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 424-7711
Mailing address
3921 ALNWICK LN, OKLAHOMA CITY, OK 73179-6652
(405) 990-5049
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
08/21/2023
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