Individual
ETHELYNE D BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7412 NW 113TH ST, OKLAHOMA CITY, OK 73162-2749
(405) 315-8912
Mailing address
1330 N CLASSEN BLVD, SUITE 209, OKLAHOMA CITY, OK 73106-6835
(405) 605-0398
(405) 605-2278
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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