EMERALD MACK

Behavior Technician

Active Individual
NPI: 1316625494

Practice Address

16538 N MAY AVE
Edmond, OK 73012

Phone: (405) 265-9208

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes RBT-23-281811 (OK)

Frequently Asked Questions

NPI 1316625494 is the National Provider Identifier for EMERALD MACK, a Behavior Technician provider located in Edmond, OK. This NPI was enumerated on July 7, 2023.
EMERALD MACK practices at 16538 N MAY AVE, Edmond, OK 73012.

Quick Facts

NPI
1316625494
Type
Individual
Enumerated
Jul 7, 2023
Last Updated
Jul 7, 2023

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