BRYCE TAYLOR BLASINGAME
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1578422291- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1817 COMMONS CIR STE A, YUKON, OK, 730999522
- Phone
- (405) 467-6782
Specialties & Taxonomies
Behavior Technician
Primary License: OK #RBT-25-454284
All Addresses
MAILING
1824 COMMONS CIR STE B
YUKON, OK, 730999538