Misty Calico, RBT

NPI #1356190920 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1356190920
Entity Type: Individual
Name: Misty Calico, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: May 16, 2024
Last Updated: May 16, 2024

Practice Location

Address: 3501 W KENOSHA ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-8948
Phone: (918) 402-1228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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