Reese-Keck, Sandra L.

Reese-Keck, Sandra L. is an sole proprietor health care provider with primary practice located at 1814 W Owen K Garriott Rd , Enid OK 73703-5525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Reese-Keck, Sandra L. can be contacted via phone (580) 823-8017.

Contact Information

Primary practice address
1814 W Owen K Garriott Rd Enid OK 73703-5525
Phone: (580) 823-8017
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6531 Oklahoma
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-9464 Oklahoma

Profile Details

NPI number 1487925335
LBN Legal business name Reese-Keck, Sandra L.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2012
Last updated Feb 8th, 2019 - about 7 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1487925335 NPPES
Oklahoma Other 1-11-9464 BEHAVIOR ANALYST CERTIFICATION BOARD
Oklahoma MEDICAID 20480230C BEHAVIOR ANALYST CERTIFICATION BOARD
Oklahoma Other 6531 BEHAVIOR ANALYST CERTIFICATION BOARD

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