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Contact Information

JACEY CONNER
418 W RAY FINE BLVD
ROLAND, OK74954
 Phone: 580-339-3698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for JACEY CONNER · (Female)

NPI # 1487408597
Status Active
Credentials
Entity Individual
Enumeration date 04/15/2024
Last updated 04/15/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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