RAVEN NICOLE RICHARD

EDMOND, OK
NPI1033893599
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: OK  RBT-23-291859)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2023-06-14
Last Update Date2023-08-21
Business Address
RAVEN NICOLE RICHARD
416 W 15TH ST STE 600
EDMOND, OK 73013-3672
Phone number: 479-318-2300
Mailing Address
RAVEN NICOLE RICHARD
2724 NW 111TH ST
OKLAHOMA CITY, OK 73120-6420
Phone number: 405-441-8996