Individual
CHANIKA JANEL HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OUTPATIENT THERAPIST
Contact information
Practice address
2505 NORTHWEST 82ND STREET, LAWTON, OK, USA, A6, LAWTON, OK 73505-2260
(405) 593-8638
Mailing address
2505 NORTHWEST 82ND STREET, LAWTON, OK, USA, A6, LAWTON, OK 73505-2260
(405) 593-8638
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
04/20/2023
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