Kenna Grogan

NPI #1417659293 in Jenks, Oklahoma

Provider Information

NPI Number: 1417659293
Entity Type: Individual
Name: Kenna Grogan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 17, 2023
Last Updated: Mar 17, 2023

Practice Location

Address: 11982 S MULBERRY CT
City: Jenks
State: Oklahoma
ZIP Code: 74037
Phone: (918) 201-1865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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