Mycah Blanton

NPI #1669280475 in Jenks, Oklahoma

Provider Information

NPI Number
1669280475
Entity Type
Individual
Name
Mycah Blanton
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Dec 26, 2024
Last Updated
Dec 26, 2024

Practice Location

Address
716 E MAIN PL
City
Jenks
ZIP Code
74037
Phone
(918) 209-5190

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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