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Individual

ROWLENA DUNCAN HARTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA, M.ED, BN, RN

Contact information

Practice address
307 4TH AVE SE, ARDMORE, OK 73401-8216
(580) 221-0315
Mailing address
PO BOX 185, ARDMORE, OK 73402-0185
(580) 221-0315

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-44379
OK
103K00000X
Behavior Analyst
Primary
12044379
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200868590A
OK
05
45088845
NM
Enumeration date
09/23/2019
Last updated
05/23/2024
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