Mikayla Nicewander
Behavior Technician in Norman, OK. Individual provider (NPI-1).
NPI number1336763549
StatusActive
Last updated in NPPESJun 3, 2020
Details
- NPI
- 1336763549
- Entity type
- Individual (NPI-1)
- Name
- Mikayla Nicewander
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2020
- Certification date
- Jun 3, 2020
- Last updated
- Jun 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | K083886381 | OK | Yes |
Practice location
2240 36th Ave Nw Ste 100Norman, OK 73072-3251
Phone 405-253-0071
Mailing address
2240 36th Ave Nw Ste 100Norman, OK 73072-3251
Phone 405-253-0071
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