Individual
KIMBERLY VANAKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9212 N KELLEY AVE, OKLAHOMA CITY, OK 73131-2419
(405) 242-5070
Mailing address
1325 GARDEN GATE DR UNIT A, YUKON, OK 73099-7471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/14/2020
Last updated
07/15/2020
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