Most Relevant Information
Provider Data
| NPI Number: | 1003494550 |
| Provider Name: | DAKOTA VANN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-21-159669 |
Most Important Dates
| Enumeration Date: | 03/29/2021 |
| Last Updated: | 05/12/2022 |
Provider Practice Location
600 LIBERTY LN
EDMOND
OK
730349432
Practice Location Phone/Fax
| Phone: | 4055481029 |
| Fax: |
Provider Mailing Location
7232 NW 129TH ST
OKLAHOMA CITY
OK
731422544
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |