Kelly Lyn Mignone, RBT

NPI #1023762028 in Yukon, Oklahoma

Provider Information

NPI Number: 1023762028
Entity Type: Individual
Name: Kelly Lyn Mignone, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Feb 8, 2022
Last Updated: Feb 8, 2022

Practice Location

Address: 520 POINTE PARKWAY BLVD
City: Yukon
State: Oklahoma
ZIP Code: 73099-0600
Phone: (405) 805-6403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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