Individual
KASSIE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 467-6782
Mailing address
2604 LERKIM LN, NORMAN, OK 73069-6955
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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