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Marisa Swails

Behavior Technician in Midwest City, OK. Individual provider (NPI-1).

NPI number1194697136
StatusActive
Last updated in NPPESSep 19, 2025

Details

NPI
1194697136
Entity type
Individual (NPI-1)
Name
Marisa Swails
Sex
Female
Sole proprietor
No
Enumeration date
Sep 19, 2025
Certification date
Sep 19, 2025
Last updated
Sep 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1121 S Douglas Blvd Ste A
Midwest City, OK 73130-5210

Phone 405-731-1992

Mailing address

1201 S Choctaw Rd
Choctaw, OK 73020-7058

Phone 405-731-1992

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