MRS. Kimberly Shani Root

NPI #1881320703 in Ardmore, Oklahoma

Provider Information

NPI Number: 1881320703
Entity Type: Individual
Name: MRS. Kimberly Shani Root
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 25, 2022
Last Updated: Jul 27, 2022

Practice Location

Address: 1301 KIOWA ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2280
Phone: (580) 670-3117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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