Nicole Lathrom

NPI #1528942158 in Owasso, Oklahoma

Provider Information

NPI Number: 1528942158
Entity Type: Individual
Name: Nicole Lathrom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 5, 2025
Last Updated: Aug 5, 2025

Practice Location

Address: 11412 N 134TH EAST AVE STE C3
City: Owasso
State: Oklahoma
ZIP Code: 74055-4969
Phone: (918) 376-3087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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