BOSTON K PROKOP

ADA, OK
NPI1245982008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2022-01-24
Last Update Date2026-01-09
Business Address
BOSTON K PROKOP
301 W 4TH ST
ADA, OK 74820-3411
Phone number: 580-257-2444
Mailing Address
BOSTON K PROKOP
2541 PASS RD STE A
BILOXI, MS 39531-2112
Phone number: 718-215-5311