Individual
JENNA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15201A CROWN AT LONE OAK RD, EDMOND, OK 73013-2272
(479) 268-4515
Mailing address
15201A CROWN AT LONE OAK RD, EDMOND, OK 73013-2272
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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