| Marylee Gaskins | |
|
302 E 19th St Owasso OK 74055-4612 | |
| (918) 272-5326 | |
| Not Available |
| Full Name | Marylee Gaskins |
|---|---|
| Speciality | Behavior Analyst |
| Location | 302 E 19th St, Owasso, Oklahoma |
| Authorized Official Name and Position | Marylee Nannell Gaskins (SELF) |
| Authorized Official Contact | 9182725326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marylee Gaskins 302 E 19th St Owasso OK 74055-4612 Ph: (918) 272-5326 | Marylee Gaskins 302 E 19th St Owasso OK 74055-4612 Ph: (918) 272-5326 |
| NPI Number | 1750719886 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750719886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Secondary |
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