Individual
MISS KAILEIGH JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S. PEN AVE, BARTLESVILLE, OK 74003
(918) 337-8080
Mailing address
708 N SHANNON DR, BARTLESVILLE, OK 74006-1964
(918) 766-5035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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