Calico, Misty

Calico, Misty is an individual health care provider with primary practice located at 3501 W Kenosha St , Broken Arrow OK 74012-8948. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Calico, Misty can be contacted via phone (918) 402-1228.

Contact Information

Primary practice address
3501 W Kenosha St Broken Arrow OK 74012-8948
Phone: (918) 402-1228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1356190920
LBN Legal business name Calico, Misty
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2024
Last updated May 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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