Individual
MRS. KASEY CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
730 W WILSHIRE BLVD STE 114, OKLAHOMA CITY, OK 73116-7738
(405) 334-2624
Mailing address
730 W WILSHIRE BLVD STE 114, OKLAHOMA CITY, OK 73116-7738
(405) 334-2624
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13425
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200353710A
—
OK
Enumeration date
05/27/2010
Last updated
03/01/2013
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