Holland Elaine Brunson

NPI #1053127407 in Owasso, Oklahoma

Provider Information

NPI Number: 1053127407
Entity Type: Individual
Name: Holland Elaine Brunson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 9, 2024
Last Updated: Dec 9, 2024

Practice Location

Address: 9098 N 94TH EAST AVE
City: Owasso
State: Oklahoma
ZIP Code: 74055-3022
Phone: (918) 899-0294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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