Individual
NICKIE NICOLE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(405) 818-1025
Mailing address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(405) 818-1025
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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